| 50328WV0010024 |
Bronze 7500 $25 Generic Drugs |
2026 |
PREFERRED
|
Oct 15, 2025 |
| 50328WV0020024 |
Bronze 7500 $25 Generic Drugs + Adult Vision & Fitness |
2026 |
PREFERRED
|
Oct 15, 2025 |
| 50328WV0010032 |
Diabetes Gold 3000 $0 Chronic Care Drugs & Services |
2026 |
PREFERRED
|
Oct 15, 2025 |
| 50328WV0020032 |
Diabetes Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness |
2026 |
PREFERRED
|
Oct 15, 2025 |
| 50328WV0010031 |
Diabetes Silver 5000 $0 Chronic Care Drugs & Services |
2026 |
PREFERRED
|
Oct 15, 2025 |
| 50328WV0020031 |
Diabetes Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness |
2026 |
PREFERRED
|
Oct 15, 2025 |
| 50328WV0010022 |
Gold 2000 $15 Generic Drugs |
2026 |
PREFERRED
|
Oct 15, 2025 |
| 50328WV0020022 |
Gold 2000 $15 Generic Drugs + Adult Vision & Fitness |
2026 |
PREFERRED
|
Oct 15, 2025 |
| 50328WV0010035 |
Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services |
2026 |
PREFERRED
|
Oct 15, 2025 |
| 50328WV0020035 |
Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness |
2026 |
PREFERRED
|
Oct 15, 2025 |
| 50328WV0010036 |
Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services |
2026 |
PREFERRED
|
Oct 15, 2025 |
| 50328WV0020036 |
Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness |
2026 |
PREFERRED
|
Oct 15, 2025 |
| 50328WV0010025 |
Low Deductible Silver 5000 $3 Generic Drugs |
2026 |
PREFERRED
|
Oct 15, 2025 |
| 50328WV0020025 |
Low Deductible Silver 5000 $3 Generic Drugs + Adult Vision & Fitness |
2026 |
PREFERRED
|
Oct 15, 2025 |
| 50328WV0010038 |
Low Premium Bronze 10600 $25 Generic Drugs |
2026 |
PREFERRED
|
Oct 15, 2025 |
| 50328WV0020038 |
Low Premium Bronze 10600 $25 Generic Drugs + Adult Vision & Fitness |
2026 |
PREFERRED
|
Oct 15, 2025 |
| 50328WV0010021 |
Low Premium Silver 6200 $3 Generic Drugs |
2026 |
PREFERRED
|
Oct 15, 2025 |
| 50328WV0020021 |
Low Premium Silver 6200 $3 Generic Drugs + Adult Vision & Fitness |
2026 |
PREFERRED
|
Oct 15, 2025 |
| 50328WV0010034 |
Platinum Zero $5 Generic Drugs |
2026 |
PREFERRED
|
Oct 15, 2025 |
| 50328WV0020034 |
Platinum Zero $5 Generic Drugs + Adult Vision & Fitness |
2026 |
PREFERRED
|
Oct 15, 2025 |
| 50328WV0010023 |
Silver 6000 $20 Generic Drugs |
2026 |
PREFERRED
|
Oct 15, 2025 |
| 50328WV0020023 |
Silver 6000 $20 Generic Drugs + Adult Vision & Fitness |
2026 |
PREFERRED
|
Oct 15, 2025 |
| 50328WV0010024 |
Bronze First 7500 $25 Generic Drugs |
2025 |
PREFERRED
|
Oct 16, 2024 |
| 50328WV0020024 |
Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness |
2025 |
PREFERRED
|
Oct 16, 2024 |
| 50328WV0010032 |
Diabetes Gold 1100 $0 Select Drugs & Specialized Services |
2025 |
PREFERRED
|
Oct 16, 2024 |
| 50328WV0020032 |
Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness |
2025 |
PREFERRED
|
Oct 16, 2024 |
| 50328WV0010031 |
Diabetes Silver 4000 $0 Select Drugs & Specialized Services |
2025 |
PREFERRED
|
Oct 16, 2024 |
| 50328WV0020031 |
Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness |
2025 |
PREFERRED
|
Oct 16, 2024 |
| 50328WV0010022 |
Gold 1500 $15 Generic Drugs |
2025 |
PREFERRED
|
Oct 16, 2024 |
| 50328WV0020022 |
Gold 1500 $15 Generic Drugs Adult Vision & Fitness |
2025 |
PREFERRED
|
Oct 16, 2024 |
| 50328WV0010035 |
Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services |
2025 |
PREFERRED
|
Oct 16, 2024 |
| 50328WV0020035 |
Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services Adult Vision & Fitness |
2025 |
PREFERRED
|
Oct 16, 2024 |
| 50328WV0010036 |
Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services |
2025 |
PREFERRED
|
Oct 16, 2024 |
| 50328WV0020036 |
Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services Adult Vision & Fitness |
2025 |
PREFERRED
|
Oct 16, 2024 |
| 50328WV0010025 |
Low Deductible Silver 4500 $3 Generic Drugs |
2025 |
PREFERRED
|
Oct 16, 2024 |
| 50328WV0020025 |
Low Deductible Silver 4500 $3 Generic Drugs Adult Vision & Fitness |
2025 |
PREFERRED
|
Oct 16, 2024 |
| 50328WV0010021 |
Low Premium Silver 6000 $3 Generic Drugs |
2025 |
PREFERRED
|
Oct 16, 2024 |
| 50328WV0020021 |
Low Premium Silver 6000 $3 Generic Drugs Adult Vision & Fitness |
2025 |
PREFERRED
|
Oct 16, 2024 |
| 50328WV0010034 |
Platinum Zero $5 Generic Drugs |
2025 |
PREFERRED
|
Oct 16, 2024 |
| 50328WV0020034 |
Platinum Zero $5 Generic Drugs Adult Vision & Fitness |
2025 |
PREFERRED
|
Oct 16, 2024 |
| 50328WV0010023 |
Silver 5000 $20 Generic Drugs |
2025 |
PREFERRED
|
Oct 16, 2024 |
| 50328WV0020023 |
Silver 5000 $20 Generic Drugs Adult Vision & Fitness |
2025 |
PREFERRED
|
Oct 16, 2024 |