2022 Summary of Benefits - Kaiser Permanente

• If you get a 31- to 60-day supply from a retail plan pharmacy, you pay 2 copays; and you pay 3 copays if you get a 61- to 100-day supply. • If you get a 31- to 100-day supply of drugs in Tiers 2–4 from our mail-order pharmacy, you pay 2 copays. Coverage gap stage . The coverage gap stage begins if you or a Part D plan spends . $4,430 ................
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