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Region 34 - Alaska


Advantage Star Plan
Tier Name Co-pay
Tier 1 Generics $5.25 co-pay
Tier 2 Preferred Brand 25% co-pay
Tier 3 Specialty 25% co-pay
Tier 4 Non-Preferred 45% co-pay
Monthly Premium: $39.10
Advantage Freedom Plan
Tier Name Co-pay
Tier 1 Generics $4.75 co-pay
Tier 2 Preferred Brand 35% co-pay
Tier 3 Specialty 33% co-pay
Tier 4 Non-Preferred 45% co-pay
Monthly Premium: $43.60
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