Type of Supply | 1-30 Day Supply | 31-60 Day Supply | 61-90 Day Supply | 90 Day Supply (or less) |
|---|---|---|---|---|
Preferred Brand | $12 | $24 | $36 | $24 |
Non-preferred Brand | $45 | $90 | $135 | $90 |
Insulin Needles/Syringes | $12 | $24 | $36 | $24 |
Glucagon | $12 | $24 | $36 | $24 |
Insulin | $12 | $24 | $36 | $24 |
You are here: Base Coverage