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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
XERAC-AC SOL 6.25%35$8.21
XYRALID LP KIT1$3.13

Second Tier
Drug NameRetail QtyRetail
XYLENES LIQ REAGENT500$15.28
XYLO/EPI INJ 1%50$16.29
XYLOCAINE INJ 1%50$14.06
XYLOCAINE INJ MPF 0.5%50$14.16

Third Tier
Drug NameRetail QtyRetail
XANAX TAB 0.25MG30$38.84
XANAX TAB 0.5MG30$46.72
XIRAHIST LIQ 2-2MG/ML30$35.37
XIRAHISTDM LIQ30$39.72
XIRATUSS SUS120$38.63
XODOL TAB30$32.01
XODOL TAB 5-300MG30$25.99
XODOL TAB 7.5/30030$27.39
XPECT-AT TAB30$31.46
XYLENES LIQ ACS GRAD3785$46.24
XYLOCAINE INJ 2%50$44.76
XYLOCAINE INJ -MPF 1%20$22.23
XYLOCAINE INJ MPF 1.5%50$38.84
XYLOCAINE INJ -MPF 2%20$30.54
XYLOCAINE SOL 2% VISC100$22.28
XYLOCAINE SOL 4%50$22.36
XYLO-MPF/EPI INJ 1%50$36.21
XYLO-MPF/EPI INJ 1.5%50$40.52
XYLO-MPF/EPI INJ 2%50$43.21

Fourth Tier
Drug NameRetail QtyRetail
XALATAN SOL 0.005%

$79.48

XANAX TAB 1MG

$72.99

XANAX TAB 2MG

$94.86

XANAX XR TAB 0.5MG

$82.38

XANAX XR TAB 1MG

$101.83

XANAX XR TAB 2MG

$134.25

XANAX XR TAB 3MG

$199.99

XELODA TAB 150MG

$234.47

XELODA TAB 500MG

$775.05

XENADERM OIN

$63.20

XENICAL CAP 120MG

$123.40

XIBROM SOL 0.09%

$245.00

XIFAXAN TAB 200MG

$261.21

XIGRIS INJ 20MG

$1426.07

XIGRIS INJ 5MG

$358.58

XODOL TAB 10-300MG

$73.18

XOLAIR SOL 150MG

$651.10

XOLEGEL GEL 2%

$109.02

XOLEGEL DUO KIT

$98.11

XOPENEX NEB 0.31MG

$114.45

XOPENEX NEB 0.63MG

$114.45

XOPENEX NEB 1.25/3ML

$114.45

XOPENEX CONC NEB 1.25/0.5

$72.57

XOPENEX HFA AER

$50.32

XYLO/DEXTROS INJ 1.5-7.5%

$111.20

XYLOCAINE GEL 2%

$78.86

XYLOCAINE INJ -MPF 4%

$71.14

XYRALID KIT

$114.76

XYRALID RC KIT

$141.95

XYREM SOL 500MG/ML

$276.28

XYZAL SOL

$95.69

XYZAL TAB 5MG

$76.16

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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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