Affiliated Computer Services
Jun 21, 2019 · Generic drug or brand name drug on PDL - $11.49 (effective 04/01/2017) LTC/Hospice Dispensing Fee. Brand name drug not on PDL - $11.49 (effective 7/1/11) Generic drug or brand name drug on PDL - $11.49 (effective 04/01/2017) Partial Fills: ½ dispensing fee at initial fill ½ dispensing fee at completion fill . Copay paid on initial fill. ................
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