Similarly, here, VA is aligning CHAMPVA benefits with TRICARE benefits in certain ways, but VA is also providing benefits beyond those offered by TRICARE to better promote the long-term health of CHAMPVA beneficiaries. In 2022, your actual costs for the vaccine depend on the specifics of your plan. 01/18/2023, 41 Claims data indicate that the greatest financial burden to CHAMPVA beneficiaries due to denials of audio-only telehealth claims occurred early in the pandemic before they and their health care providers were able to adapt to the pandemic-caused shift towards conducting business online. There's a number of supplements to go with CHAMPVA, if you choose to use one. (ii) A diagnostic or monitoring procedure which incorporates electronic transmission of data or remote detection and measurement of a condition, activity, or function (biotelemetry) is covered when: (A) The procedure, without electronic data transmission, is a covered benefit; and, (B) The addition of electronic data transmission or biotelemetry improves the management of a clinical condition in defined circumstances; and. Once we get your application, well review it to be sure its complete and includes all required forms. endstream endobj 257 0 obj <>stream Only official editions of the Executive Orders 12866 and 13563 direct agencies to assess the costs and benefits of available regulatory alternatives and, when regulation is necessary, to select regulatory approaches that maximize net benefits (including potential economic, environmental, public health and safety effects, and other advantages; distributive impacts; and equity). CHAMPVA Eligibility PO Box 469028 Denver, CO 80246-9028 Fax: 303-331-7809 Important Notice: The Plan is currently not available in CO, ME, NH, OR, UT, WA. significant economic impact on a substantial number of small entities as they are defined in the Regulatory Flexibility Act, 5 U.S.C. ^*@U ?) When providers are performing services within the scope of their license or certification, we consider them to be authorized. Notice: Termination of marriage by divorce or annulment to the qualifying sponsor ends CHAMPVA eligibility as of midnight on the effective date of the dissolution of marriage. 01/18/2023, 202 Find out if you qualify for CHAMPVA and how to apply. Coverage works differently if you use CHAMPVA alongside another health insurance plan, including Medicare. National Formulary Frequently Asked Questions. If a med needs to be taken right away, a prescription can be taken to retail pharmacies and CHAMPVA will pay 75% of adjusted cost. Most comment periods last between 30 and 60 days, and some are re-opened if the agency believes that there was insufficient time for the public to respond or that the agency did not receive as much feedback as it would like. public comments that make threats to individuals or institutions or suggest that the commenter will take actions to harm the individual. #11. The Office of Information and Regulatory Affairs has determined that this rule is a significant regulatory action under Executive Order 12866. 13625 August 31, 2012; E.O. More information and documentation can be found in our The OFR/GPO partnership is committed to presenting accurate and reliable That said, CHAMPVA does have an outpatient deductible of $50 per beneficiary every calendar year or a $100 maximum per family per calendar year. This may be a divorce decree, death certificate, or annulment decree. VA National Drug File Extract with NDC. The Department considers comments by the public on new collections of information in. regulatory information on FederalRegister.gov with the objective of Estimated number of respondents: CHAMPVA is established as a cost sharing program. (FR). CHAMPVA for Life (CFL) is an extension of CHAMPVA benefits for those 65 years and older. Youre the surviving spouse or child of a Veteran who was at the time of death rated permanently and totally disabled from a service-connected disability. Each document posted on the site includes a link to the If you were covered under CHAMPVA as the stepchild of a Veteran, and you leave the Veterans household because of a divorce or remarriage, you no longer qualify for CHAMPVA. www.regulations.gov. For the reasons stated in the preamble, the Department of Veterans Affairs (VA) proposes to amend 38 CFR part 17 as follows: 1. This feature is not available for this document. Federal Register provide legal notice to the public and judicial notice Retail pharmacies - up to a 30 day . CHAMPVA is currently managed by the Veterans Health Administration Office of Community Care (VHA OCC) located in Denver, Colorado. An example of CHAMPVA exclusions differing from TRICARE is coverage for annual physical exams. These tools are designed to help you understand the official document As explained by DoD in its rulemaking, while existing telehealth platforms that incorporate both audio and video/visual two-way communication are preferred and already allowable for beneficiaries, there may be instances when this is not possible. #9. Another disadvantage is that CHAMPVA does not cover long-term care or . =;w.9&T t_`!n4i$>*ij=c ~jE[VYju8^96oveVhb"4-!z:G [0Um1h=>icZiS/LuZwfPj#\Pf+VzOf0PK}T=P s)8/,#*XNT. HHS Office of Civil Rights has issued guidance on how covered health care providers and health plans can use remote communication technologies to provide audio-only telehealth services when such communications are conducted in a manner that is consistent with the applicable requirements of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) Privacy, Security, and Breach Notification Rule (collectively, the HIPAA Rules). To receive payment or reimbursement, submission of a VA Form 10-5979a CHAMPVA claim form is required with supporting evidence. CHAMPVA is always the second payer to Medicare. If you send us all required and optional documentsand if your application is completeitll take about 6 weeks after we get your package until you get your CHAMPVA ID card and related materials. better and aid in comparing the online edition to the print edition. That includes outpatient services, inpatient services, mental health services, family planning, maternity care, skilled nursing care, hospice care, ambulance services and more. Covered services include diagnostic, preventative, surgical, emergency and endodontic/restorative treatment. Anybody have an idea on how long ChampVa is actually taking to complete pharmacy co-pay claims (we still have BC/BS from my employer for my wife). This program is for those who are not eligible for TRICARE. There is no minimum period specified in the statute for the comment period to remain open, and it often varies with the complexity of the rule. Therefore, pursuant to 5 U.S.C. If you become disabled and unable to continue service as a family caregiver of a veteran, you might lose CHAMPVA coverage, but as described above, you still might be eligible for CHAMPVA as a spouse of a permanently and totally disabled veteran. e.g., and services, go to Register (ACFR) issues a regulation granting it official legal status. Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA) Benefits Forms. *H3g'DXzpoKFXE}A- [96Z^,|MoT:U!Ucg]t! STATE -Select- Allowing retrospective reimbursement up to the CHAMPVA allowable amount will provide the beneficiary compensation for their payment for medically necessary care during the declared national emergency. VA Drug Standardization List. If, after the close of the public comment period, VA determines that additional public input is necessary, we will provide additional opportunity for public comment. fz [LRY endstream endobj 256 0 obj <>stream The Department of Veterans Affairs (VA) proposes amending its medical regulations regarding Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA) coverage. What Is The Phone Number For CHAMPVA Customer Service? Federal Register 01/18/2023, 823 MHPAEA generally prevents group health plans and health insurance issuers that provide mental health and/or substance use disorder (MH/SUD) benefits from imposing less favorable ( With CHAMPVA, youll be covered for services and supplies when we determine they are medically necessary and were received from an authorized provider. Medicaid recipients could have less of a financial burden than they would under CHAMPVA, because many state Medicaid plans do not require the participant to pay co- payments, cost shares or deductibles. CHAMPVA provides coverage for many services and supplies that are received from an authorized provider and are considered medically necessary. The https:// ensures that you're connecting to the official website and that any information you provide is encrypted and sent securely. ET Monday through Friday Email: Ask VA (AVA) Mail: CHAMPVA PO Box 469063 Denver, CO 80246-9063 Self-Service Options for CHAMPVA Providers Eligibility, Other Health Insurance (OHI) Coverage, and Claims 800-733-8387 8:00 a.m. to 7:30 p.m., ET Monday through Friday Ask VA (AVA) Payments U%&FdD`#|dI D::_10f:@ @/C0+'=z.jxZ%[ My wife enrolled in CHAMPVA last year when I was rated P&T and as of this January she has dropped her previous BC/BS plan that included prescription coverage. If your Veteran is applying for you as a spouse, be sure to also include the date of the marriage on the application. CHAMPVA Contacts Phone: 800-733-8387 8:05 a.m. to 7:30 p.m. VA proposes removing current paragraphs (a)(57) through (62) and redesignating subsequent paragraphs accordingly. The first date that you qualify again is the first day of the month after your remarriage ends or December 1, 1999whichever date is later. the material on FederalRegister.gov is accurately displayed, consistent with How Part D works with other insurance. There are a few exceptions to this rule. Documents related to any dependent children youre including in your application: A copy of each childs birth certificate or adoption papers. For example, the deductible for inpatient hospital care is currently $50 per admission, while . on VA has regulated services covered by CHAMPVA to mean those medical services that are medically necessary and appropriate for the treatment of a condition and that are not specifically excluded. 2900-0219. September 6, 2022 by Sandra Hearth. The Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA) is a health benefits program in which VA shares the cost of certain health care services and supplies with eligible beneficiaries. the current document as it appeared on Public Inspection on Youre the spouse or child of a Veteran whos been rated permanently and totally disabled for a service-connected disability by a VA regional office. The Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA) is a health benefits program in which the VA shares the cost of covered health care services and supplies. Comments on the revised collection of information contained in this rulemaking should be submitted through If you dont have a copy of the necessary form, you can request it by submitting a Standard Form 180, Request Pertaining to Military Records, from the National Archives. If you currently use Meds by Mail and elect a Medicare Prescription Drug Plan (Part D . Please click on the description that matches your status to learn more: If youre expecting a baby, youll need to take the 2 steps listed here before you can apply for CHAMPVA for your newborn: Medical claims cant be paid until you sign your baby up under CHAMPVA, so please get them a Social Security number and set their status as a dependent as soon as possible. Following publication of the IFR, DoD reviewed claims data from TRICARE private sector care as well as published industry information from the Centers for Medicare & Medicaid Services (CMS), health insurance plans, and statements from physicians' professional organizations regarding telephonic office visits to determine if this should be a permanent telehealth benefit. If its not complete, well return it to you with more instructions. L. 110-343, October 3, 2008). Covered services include: hospital stays primary care doctor visits The agency must then consider all comments that are submitted in determining the content of the final rulemaking. This guidance explains how the HIPAA Rules permit health care providers and plans to offer audio telehealth while protecting the privacy and security of individuals' health information. https://www.hhs.gov/about/news/2022/06/13/hhs-issues-guidance-hipaa-audio-telehealth.html. The advanced tools of the editor will direct you through the editable PDF template. CHAMPVA Meds by Mail is only available to those . 38 CFR 17.274. We are now addressing this oversight, in conjunction with making proposed changes to cost sharing for contraceptive care and services that would more closely align with ACA requirements for private health insurers. However, on January 31, 2020, the Secretary of Health and Human Services (HHS) determined that a public health emergency existed since January 27, 2020. As such, not every aspect of CHAMPVA will be identical to TRICARE. These can be useful When warranted, CHAMPVA coverage and exclusions may differ from TRICARE due to factors such as dissimilarities in the respective patient populations, or policy considerations. Transplants. A4Rkze5Ju k}Km97=] documents in the last year, 946 PO Box 469028 Complete a paper enrollment form. 1781(b) to provide medical care in a manner that is the same or similar to TRICARE medical benefits and subject to the same or similar limitations. VA Prescription Tracking - for Premium users registered as a VA patient or CHAMPVA beneficiary. Hospice care from any provider is 100 percent covered under CHAMPVA. VA estimates the annual cost to respondents to be $349,732.86. In contrast to TRICARE dependents, these beneficiaries' family planning goals or objectives may be affected by these eligibility-based life circumstances. Ri/&;%'%`J$){CV-fgM2oZZ(F;i|LTt\W{H3I>T{@@16=S`=Bj )j>9dNdksU+=D +uK ~cQ)QMQmubc;8"L1:-R+w:8f#WWdokc/aD . Vyf:4@6lq ~Ya[ [j pEa~MBe]h%(QnygZH%#FXto:oSXpQ!KFUr This document has been published in the Federal Register. provide legal notice to the public or judicial notice to the courts. If youre 65 years old or older and dont qualify for Medicare, youll need to send us documentation from the Social Security Administration that confirms you dont qualify for Medicare benefits under anyones Social Security number. Non-Promotable List. In 2022, DoD provided that this temporary removal of the exclusion would cease to be in effect upon termination of the national emergency declared by the President in Proclamation 9994, in accordance with applicable law and regulation ( 38 CFR 17.274. With few exceptions, you will pay something toward the cost of your medical care. While every effort has been made to ensure that documents in the last year, 84 A few cons of CHAMPVA should be considered before enrolling in the program. $T^=3fGA 9@n`Pu 6Id:!it!)}{zb:lVUxbPh@nP^zj dx CpP QI,!6'y2;5%u\:Kta#s"}8Dcxxd z U3)=4 {$.Xv!{r`y&hGRde o|Ej{r%ny=:R82 y6}8> CkFtpe1DP?D8CoXBzC"LS1cV-u_^(4TN ^b(BpUWr?9^J}zFb'c? Lifetime Cap. The online VA receipt system is subject to delays. The MHPA was largely superseded by the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008 (MHPAEA) (Title V, Subtitle B, 511 and 512 of Pub. The TRICARE claims data between mid-March and mid-September 2020 indicated beneficiary utilization of telephonic office visits was a small portion of all telehealth claims. We note that, effective January 1, 2022, CMS rules have also permanently changed to allow for Medicare coverage of audio-only telehealth for mental health services or substance use disorders (MH/SUD) in certain circumstances. If so, current CHAMPVA cost sharing obligations may constitute a barrier to access. PoppaP. How to fill out the Get And Sign Champ Form 10 0426 2016-2019 on the web: To start the document, use the Fill camp; Sign Online button or tick the preview image of the document. Additionally, audio-only telehealth claims submitted to the program were denied, requiring the beneficiary to pay for their audio-only telehealth visit, further exacerbating the financial burden of the beneficiary. Use the PDF linked in the document sidebar for the official electronic format. Estimated average burden per response: rendition of the daily Federal Register on FederalRegister.gov does not 38 CFR 17.270 Phone Toll Free: 1-800-733-8387 Monday through Friday (excluding holidays) Hours of operation: 8:05 a.m. to 7:30 p.m. Eastern Time. Beginning Jan. 1, 2023, all vaccines will be free under Medicare . Except as provided below, comments received before the close of the comment period will be available at documents in the last year, 675 School certification of full-time enrollment for children ages 18-23. Retroactivity provides the greatest benefit to CHAMPVA beneficiaries and is consistent with the requirement under 38 U.S.C. https://www.hrsa.gov/womens-guidelines. You can also search for a specific prescription medication to find out if it's covered or what you'll have to pay . electronic version on GPOs govinfo.gov. If I am enrolled in a Medicare drug coverage plan, . (44) Telephone Services, with the following exceptions: (i) Services or advice rendered by telephone (audio only) on or after May 12, 2020, are not excluded when the services are otherwise covered CHAMPVA services provided through this modality and are medically necessary and appropriate. Mar 07, 2013 #1. The .gov means its official. Note: You dont need to enroll in Medicare Part D to qualify for CHAMPVA. An official website of the United States government. The Planned Price Hike TRICARE has announced that TRICARE enrollees will pay between $1 and $8 more for each prescription filled in 2022. If you choose not to enroll in Medicare Part D, CHAMPVA offers a program called Meds by Mail for non-urgent, maintenance medications. www.reginfo.gov/public/do/PRAMain. About the Federal Register on FederalRegister.gov VA supports parity in CHAMPVA coverage between MH/SUD benefits and other medical benefits. New Medicare . y'AymYYv>' d8zUvL}]dd7:\sKQb'I+]U{+G]H(/wmn7ub!;ay&1LE[>~YTX#`Y2qF$rm[cpbL e4lzJ4BgFm ish~ 553(b) and (c). Current section 17.272(a)(44)(iii) would be redesignated as 38 CFR 17.272(a)(44)(ii)(C) without change to the text. For complete information about, and access to, our official publications Vision Insurance Plans starting at $10.67 for Individual and $29.34 for Family GET A VISION QUOTE Savings - Choice of Providers The Assistance listing number and titles for the program affected by this document is 64.039CHAMPVA. Therefore, in this rulemaking, we would revise 38 CFR 17.272(a)(44) to state that services or advice rendered by telephone (audio only) are not excluded when otherwise covered CHAMPVA services are provided to a beneficiary through this modality if the services are medically necessary and appropriate. The Administrative Procedure Act requires federal agencies to publish a notice of proposed rulemaking in the The President of the United States manages the operations of the Executive branch of Government through Executive orders. While in-person appointments were converted to video telehealth visits when possible, some patients were limited to audio-only telehealth appointments because either they or their providers didn't have access to the communications equipment, internet service, or internet bandwidth required for video telehealth. Comments should indicate that they are submitted in response to RIN 2900-AR55 CHAMPVA coverage of audio-only telehealth, mental health services, and cost sharing for certain contraceptive services and contraceptive products approved, cleared, or granted by FDA should be sent within 30 days of publication of this rulemaking. documents in the last year, 117 documents in the last year, 973 Military Treatment Facilities - up to a 90-day supply (formulary drugs only) at no cost. Refill or Track Your VA Prescriptions To register for a My HealtheVet account, CHAMPVA beneficiaries should start with the 'Register' button at the top right of the Home Page. The exclusions vary by mental health service provided, some exclusions are per fiscal year while others are per benefit period, and all have exclusions for specific services in excess of certain time periods. endstream endobj 258 0 obj <>stream The above-referenced legal provisions related to MH/SUD benefits parity with medical/surgical benefits are not applicable to CHAMPVA or TRICARE benefits. You cannot have Meds by Mail and Medicare Part D at the same time. 10/21/2022 at 8:45 am. This count refers to the total comment/submissions received on this document as reported by Regulations.gov (last updated on 11/24/2022 at 12:01 am). For most care, including medical screening,. I did get one previously and it was worth it for me just for the convenience. In the past this was not a high priority for VA, as the practical end result of CHAMPVA waiving such limitations and exclusions is that a beneficiary experienced no discontinuity in care. informational resource until the Administrative Committee of the Federal Estimated cost to respondents per year: documents in the last year. See 38 CFR 17.270(a). CHAMPVA prescription drug coverage is considered creditable prescription drug coverage, meaning it is at least as good as Medicare prescription drug coverage. In addition, we would remove current 17.273(c) which requires preauthorization for outpatient mental health visits in excess of 23 per calendar year and/or more than two (2) sessions per week. Due to the similarity between CHAMPVA and the TRICARE program (sometimes referred to by its old name, CHAMPUS) the two are often mistaken for each other. VA believes the proposed changes to CHAMPVA program exclusions and cost sharing are not complex and would align the program with longstanding legislative initiatives. Comments must be received by VA on or before November 23, 2022. permitting electronic submission of responses. {ee@S1WlO1+$i2(;hV-+&'E Lu'(WulO5P;}/`s]Ju13M>|1{(d27,"04|h#`$W_:1>c+4a*6rvb"WXx_m?% documents in the last year, 37 Here are some requirements you need to know: If youre under 65 years old, youre eligible for CHAMPVA if you meet both of these requirements.Both of these must be true: If youre 65 years old or older, youre eligible for CHAMPVA if youre eligible for Medicare. 6FsgtErwN/ |74[LEQht&\tT#[E{.$SCnPb(MXnNtk- x*@N#]p7A?wyD+ 6UMW ^DT.g-Bh ["i* i PeUw>rq=a u$Zky U.S. Department of Veterans Affairs. When providers are performing services within the scope of their license or certification, we consider them to be authorized. 14070 (April 5, 2022) titled, Continuing to Strengthen Americans' Access to Affordable, Quality Health Coverage. The E.O. If youre covered under CHAMPVA and you turn 18 years old, youll need to send us proof that youre enrolled full time in college or another educational institution to keep getting benefits. We note that VA has consistently interpreted the same or similar language in 38 U.S.C. on documents in the last year, by the Engineers Corps and the Environmental Protection Agency 83 FR 2401 (January 17, 2018). ~qBU@!yiG~_n%5;1AwGZMf'u7M;j.t{Vgp^V~L]?)\txuRCa )NW) The TRICARE rulemaking on audio-only telehealth was initially based on the need to respond to a new reality for clinical care delivery due to the declared COVID-19 public health emergency. The CHAMPUS basic program benefits under 32 CFR 199.4 continue as the baseline of benefits for TRICARE Select. If the Veteran youre caring for was seriously injured in the line of duty on or after September 11, 2001, you may qualify for health care benefits and other caregiver support through the Program of Comprehensive Assistance to Family Caregivers. Annual Supplement Deductible is $250 per beneficiary or a maximum of $500 per family per year. VA shares the cost of medically necessary services and supplies for eligible beneficiaries as set forth in 38 CFR 17.271 through 17.278. VA has determined that a 30-day public comment period should be provided for this proposed rulemaking. Document page views are updated periodically throughout the day and are cumulative counts for this document. VHA Office of Community Care 74,914 in FY2022. Therefore, it would only affect individuals who are CHAMPVA beneficiaries. Removing paragraphs (a)(57) through (62); c. Redesignating paragraphs (a)(63) through (83) as paragraphs (a)(57) through (77). CHAMPVA Coverage of Audio-Only Telehealth, Mental Health Services, and Cost Sharing for Certain Contraceptive Services and Contraceptive Products Approved, Cleared, or Granted by FDA A Proposed Rule by the Veterans Affairs Department on 10/24/2022 Document Details Printed version: PDF Publication Date: 10/24/2022 Agency: VA proposes amending its regulations at 38 CFR 17.272(a)(44) to remove the exclusion of audio-only telehealth for CHAMPVA beneficiaries for services provided on or after May 12, 2020. This broad flexibility to cover and pay for Medicaid services delivered via telehealth, including via audio-only technologies, was in place prior to the COVID-19 public health emergency. the official SGML-based PDF version on govinfo.gov, those relying on it for This is called cost sharing. This includes all covered medical expenses such as hospital stays or visits to specialists. New Documents publication in the future. L. 104-204, September 26, 1996) which required annual or lifetime dollar limits on mental health benefits to be no lower than any such dollar limits for medical and surgical benefits offered by a group health plan or health insurance issuer offering coverage in connection with a group health plan. of the issuing agency. Annual CHAMPVA Deductible is $50 per beneficiary or a maximum of $100 per family per year. When youre signed up for CHAMPVA, youll get a copy of the CHAMPVA Program Guide. 10 minutes for respondents. If you turned 65 before June 5, 2001, and youre entitled to either Medicare Part A or B, youll also need to enroll in Medicare Part B to be eligible for CHAMPVA. EmjrC~5{LXs Jk. Start Printed Page 64194 IB-10-1190CHAMPVA Created Date: June 12, 2019 Page 2 of 2. Q4. We will post acceptable comments from multiple unique commenters even if the content is identical or nearly identical to other comments. L. 111-152, March 30, 2010), collectively referred to as the Affordable Care Act or the ACA, extended this requirement by operation of law to individual health insurance coverage. This proposed rule would allow for payment or reimbursement of audio-only telehealth services on behalf of CHAMPVA beneficiaries, provide for parity between mental health and substance use disorder care and other medical care, and eliminate cost sharing for certain contraceptive services and contraceptive products approved, cleared, or granted by FDA. VA may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. When you request a copy it will be sent to your last known address, or you may choose a paper copy. This chart compares Medicare, VA, and TRICARE drug coverage to help people who have multiple sources of prescription drug coverage (and those who assist such people) to understand how the sources of drug coverage vary. There are no CHAMPVA quantitative limits on non-MH/SUD medical benefits, and limitations on the number of mental health visits without the need for further approval is inconsistent with establishing parity. Enter your official contact and identification details. . Without this rulemaking, health care providers who may be small entities would still receive payment for services, the payment would be from the CHAMPVA beneficiary and not from VA. documents in the last year, by the Indian Affairs Bureau covered under the individual's non-grandfathered group health plan or health insurance coverage without cost sharing. The ACA provisions cited above do not apply to TRICARE or CHAMPVA. Call us at 1-800-MEDICARE (1-800-633-4227). Eligible CHAMPVA beneficiaries who do not have other health insurance (OHI) with pharmacy coverage are able to use MbM for nonurgent, maintenance medications. OHIP provides prescription drug coverage to youth 24 and under who . So how does CHAMPVA work with Medicare? See DoD stated that it had initiated action to do what it can under its authority to eliminate unnecessary quantitative limits under TRICARE for MH/SUD coverage, thus achieving parity between MH/SUD and medical/surgical benefits. Under the ACA, contraceptive care is considered to be a preventive health service for women and as such most private health plans in the United States must cover the full range of contraceptive methods, services, and counseling without patient out-of-pocket costs like coinsurance, copayments, or deductibles. 1aBEqI@`r_o#,t$gb%` Retail pharmacies provide a 30-day prescription fill with cost shares of $5 for generic, $17 for . a. 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