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17. Can network pharmacies charge different prices for the same covered drug?

Yes. What you pay for drugs may vary, depending upon how the plan sets up its network. Plans are allowed to have preferred and non-preferred network pharmacies, and they are allowed to charge more for drugs purchased at the non-preferred locations. They may also charge less if you use a mail order pharmacy.

The pricing difference will be very limited if you are receiving a low-income subsidy. In that case, for the remainder of 2016 you will pay no more than $7.40 for your brand-name drugs ($2.95 for generics) as long as you go to a pharmacy that is in the plan’s network. In 2017, costs are no more than $8.25 for each brand-name and $3.30 for each generic covered drug.


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