Advance Benefits
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Advance Benefits is administered by Envision Pharmaceuticals which is a leader in prescription benefit management. They were the first company to promote a prescription benefit where manufacturer incentives are immediately given to consumers to lower drug costs.

The Four Tier Prescription Drug Program will allow you to acquire selected Tier 1 generic drugs for a payment of $10.00 or less at over 35,000 participating pharmacies. You will save money on Tier 2 selected generic and brand name drugs for a payment of $20 or less. Based on quantity dispensed, Advance Benefits will GUARANTEE the lowest price available at the network pharmacy of your choice for all Tier 4 drugs. The use of generic drugs and the convenient mail order option will maximize your savings. Examples of the Four Tier co-pay program follows:

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First Tier
Drug NameRetail QtyRetail
K-BICARB CAP30$5.11
Ketoconazole Cream 2%15$7.50
Ketoprofen Cap 50 MG30$6.15
Ketoprofen Cap 75 MG30$7.02
KETOSTIX TES STRIP20$9.54
KINNEY MIS LANCETS100$8.83
KOGENATE FS INJ 2000/BS1$4.27
KOGENATE FS INJ 2000UNIT1$4.27
K-PHOS TAB30$6.73
K-PHOS TAB MF30$6.73
K-PHOS TAB NEUTRAL30$8.75
K-PHOS TAB NO 230$8.95
KROGER LANCE MIS200$9.70
KROGER LANCE MIS THIN100$8.40
KROGER LANCE MIS THIN 30G100$8.40

Second Tier
Drug NameRetail QtyRetail
KCL IN NACL SOL1000$13.61
K-DUR TAB 10MEQ CR30$12.81
KEFZOL INJ 10GM1$11.62
KENALOG CRE 0.1%15$15.92
KENALOG OIN 0.1%15$15.91
KENALOG/ORAB PST 0.1%5$17.53
KENALOG-10 INJ 10MG/ML5$13.75
Ketamine HCl Inj 100 MG/ML10$17.91
Ketamine HCl Inj 50 MG/ML10$16.04
Ketoconazole Shampoo 2%120$17.67
Ketoconazole Tab 200 MG30$16.40
Ketorolac Tromethamine Tab 10 MG30$18.27
KEY-PRED INJ 25MG/ML30$15.77
KLOR-CON M15 TAB30$15.74

Third Tier
Drug NameRetail QtyRetail
KAON ELX 20MEQ/15480$28.76
KAON-CL SF LIQ 20%480$26.19
KCl 0.075% in D5/0.45% NaCl12000$28.20
KCl 0.15% in D5/0.2% NaCl6000$41.70
KCl 0.224% in D5/0.45% NaCl12000$28.20
K-DUR TAB 20MEQ CR30$21.92
KEMADRIN TAB 5MG30$28.54
KENALOG CRE 0.5%20$46.64
KENALOG LOT 0.025%60$39.69
KENALOG LOT 0.1%60$44.21
KENALOG-40 INJ 40MG/ML5$45.97
KERLONE TAB 10MG30$45.41
Ketoconazole Cream 2%75$25.50
KG-TUSS HD SOL EXPECTOR480$25.76
KIE SYP480$44.40
KINRAY TES50$27.63
K-LYTE/CL TAB CITRUS30$41.63
K-LYTE/CL TAB FRUIT30$41.63
K-LYTE-LIME TAB 25MEQ EF30$41.63
K-LYTE-ORANG TAB 25MEQ EF30$41.63
KRISTALOSE PAK 10GM30$48.00
KRISTALOSE PAK 20GM30$45.22
KROGER TES50$25.37
K-TABS TAB 10MEQ CR30$20.63
KUTRASE CAP30$28.37
KU-ZYME CAP30$23.97
KU-ZYME-HP CAP30$23.97

Fourth Tier
Drug NameRetail QtyRetail
KADIAN CAP 100MG CR

$297.41

KADIAN CAP 10MG

$103.69

KADIAN CAP 200MG CR

$886.46

KADIAN CAP 20MG CR

$83.83

KADIAN CAP 30MG CR

$90.91

KADIAN CAP 50MG CR

$155.67

KADIAN CAP 60MG CR

$178.66

KADIAN CAP 80MG

$325.90

KALETRA CAP

$129.91

KALETRA SOL

$384.24

KALETRA TAB 100-25MG

$98.12

KALETRA TAB 200-50MG

$193.49

Kanamycin Sulfate Inj 333 MG/ML

$138.94

KAPIDEX CAP 30MG DR

$102.13

KAPIDEX CAP 60MG DR

$102.13

KCl 0.075% in D5/0.2% NaCl

$169.44

KCl 0.15% in D5/0.33% NaCl

$208.02

KCl 0.15% in D5/0.45% NaCl

$208.02

KCl 0.224% in D5/0.2% NaCl

$170.40

KCl 0.3% in D5/0.2% NaCl

$174.60

KCl 0.3% in D5/0.45% NaCl

$109.92

KCl 0.3% in NaCl 0.9%

$109.92

KCL/D10/NACL INJ 0.15/0.2

$175.37

KCL/D5W INJ 0.075%

$178.07

KCL/D5W/LR INJ 0.15%

$145.43

KCL/D5W/LR INJ 0.3%

$145.43

KCL/D5W/NACL INJ .224/.33

$126.83

KCL/D5W/NACL INJ .224/0.3

$231.23

KCL/D5W/NACL INJ 0.15/0.9

$131.99

KCL/D5W/NACL INJ 0.3/0.3%

$315.71

KCL/D5W/NACL INJ 0.3/0.33

$178.07

KCL/D5W/NACL INJ 0.3/0.9%

$126.83

KCL/NACL INJ 0.15-0.9

$92.63

KEFLEX CAP 250MG

$64.92

KEFLEX CAP 500MG

$125.08

KEFLEX CAP 750MG

$91.64

KEFLEX SUS 125/5ML

$52.16

KEFLEX SUS 250/5ML

$101.53

KEFUROX INJ 7.5GM

$60.12

KENALOG AER SPRAY

$93.91

KEPPRA INJ 500/5ML

$406.45

KEPPRA SOL 100MG/ML

$379.22

KEPPRA TAB 1000MG

$250.38

KEPPRA TAB 250MG

$62.60

KEPPRA TAB 500MG

$126.56

KEPPRA TAB 750MG

$101.84

KEPPRA XR TAB 500MG

$114.99

KERAFOAM AER 30%

$117.48

KERALAC CRE

$175.70

KERALAC GEL

$245.52

KERALAC LOT

$234.94

KERALAC OIN 50%

$124.16

KERALAC SOL NAILSTIK

$229.70

KERLONE TAB 20MG

$66.71

KEROL EMU 50%

$230.47

KEROL SUS 50%

$213.96

KEROL REDI- MIS CLOTHS

$198.08

KETALAR INJ 100MG/ML

$329.59

KETALAR INJ 10MG/ML

$182.17

KETALAR INJ 50MG/ML

$70.72

Ketamine HCl Inj 10 MG/ML

$136.39

KETEK TAB 300MG

$159.34

KETEK TAB 400MG

$159.34

Ketoprofen Cap SR 24HR 200 MG

$51.96

Ketorolac Tromethamine IM Inj 30 MG/ML

$93.00

Ketorolac Tromethamine Inj 15 MG/ML

$68.54

Ketotifen Fumarate Ophth Soln 0.025% (Base Equiv)

$51.65

KINERET INJ

$329.94

KINEVAC INJ 5MCG

$636.88

KLARON LOT 10%

$141.20

KLONOPIN TAB 0.5MG

$50.03

KLONOPIN TAB 1MG

$56.68

KLONOPIN TAB 2MG

$77.48

KLONOPIN WAF TAB 0.125MG

$52.79

KLONOPIN WAF TAB 0.25MG

$52.79

KLONOPIN WAF TAB 0.5MG

$52.79

KLONOPIN WAF TAB 1MG

$59.86

KLONOPIN WAF TAB 2MG

$81.87

K-LOR POW 20MEQ

$51.04

K-LYTE DS TAB 50MEQ OR

$72.71

K-LYTE/CL-50 TAB CITRUS

$72.71

KUVAN TAB 100MG

$995.09

KYTRIL INJ 1MG/ML

$172.57

KYTRIL SOL 2MG/10ML

$328.75

KYTRIL TAB 1MG

$1714.26

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Prices and tier position subject to change without notice. Tier position and price only for quantities stated, additional quantities may incur higher costs. This is not an insured product.

Disclosures:
The Advance Benefits discount programs are not health insurance policies. The plan provides discounts at network pharmacies and mail order facilities. The plan does not make payments directly to the providers. The plan members are obligated to pay for all services but will receive a discount from those pharmacies that have contracted with this discount plan organization. It is the member’s responsibility to confirm with member services that a pharmacy is an active provider.

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