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
W&F LANCETS MIS 21G100$7.97
W&F LANCETS MIS 26G100$7.97
Warfarin Sodium Tab 1 MG30$6.69
Warfarin Sodium Tab 1 MG30$6.69
Warfarin Sodium Tab 2 MG30$6.69
Warfarin Sodium Tab 2 MG30$6.69
Warfarin Sodium Tab 2.5 MG30$6.69
Warfarin Sodium Tab 2.5 MG30$6.69
Warfarin Sodium Tab 3 MG30$7.57
Warfarin Sodium Tab 3 MG30$7.57
Warfarin Sodium Tab 4 MG30$7.05
Warfarin Sodium Tab 4 MG30$7.05
Warfarin Sodium Tab 5 MG30$6.69
Warfarin Sodium Tab 5 MG30$6.69
Warfarin Sodium Tab 6 MG30$7.05
Warfarin Sodium Tab 6 MG30$7.05
Warfarin Sodium Tab 7.5 MG30$7.05
Warfarin Sodium Tab 7.5 MG30$7.05
Water For Inject, Bacteriostatic30$4.88
Water For Inject, Bacteriostatic Benzyl Alcohol30$4.50
Water For IV Injection1200$5.88
WD LANCETS MIS100$7.08
WD LANCETS MIS THIN100$7.09
Witch Hazel-Glycerin Cleansing Pads100$4.94
Wound Dressings - Gel1$9.89

Second Tier
Drug NameRetail QtyRetail
Warfarin Sodium Tab 10 MG30$19.86
Warfarin Sodium Tab 10 MG30$19.86
WESTCORT CRE 0.2%15$18.00

Third Tier
Drug NameRetail QtyRetail
WELCHOL TAB 625MG30$39.94
WESTCORT OIN 0.2%15$20.23
WINN DIXIE TES MEDIC50$27.63
WINSTROL TAB 2MG30$28.71
WITEPSOL MIS500$36.59

Fourth Tier
Drug NameRetail QtyRetail
Water For Irrigation, Sterile Irrigation Soln

$204.36

WELLBUTRIN TAB 100MG

$99.22

WELLBUTRIN TAB 100MG SR

$102.13

WELLBUTRIN TAB 150MG SR

$109.25

WELLBUTRIN TAB 200MG SR

$200.53

WELLBUTRIN TAB 75MG

$75.09

WELLBUTRIN TAB XL 150MG

$174.40

WELLBUTRIN TAB XL 300MG

$229.32

WHEAT GERM OIL

$89.54

WILD CHERRY EXT BARK

$67.61

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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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