EPO Prescription Benefits at a Glance: Groups 51+ AmeriHealth Forms Online — New Jersey Type Option Standard 50% Standard 50%/$125 max Standard $7/50%/$125 max Standard $100 Ded 50%/$125 max Standard $150 Ded 50%/$125 max Standard $250 Ded 50%/$125 max Select $10/$40/$60 non-integrated Select $100 Ded $7/50%/$125 max Select $150 Ded $7/50%/$125 Select $250 Ded $7/50%/$125 Select $100 Ded $10/$40/$60 Select $150 Ded $10/$40/$60 Select $250 Ded $10/$40/$60