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CVS Retail pharmacy (90-day supply)

Member for

7 years 4 months

Submitted by Site Factory admin on Wed, 01/13/2021 - 00:10

Service Benefit Category Id

11623

Under age 6

Member for

7 years 4 months

Submitted by Site Factory admin on Wed, 01/13/2021 - 00:10

Service Benefit Category Id

11627

Age 6 or older

Member for

7 years 4 months

Submitted by Site Factory admin on Wed, 01/13/2021 - 00:10

Service Benefit Category Id

11628

Milford Regional Physician Group and Milford Regional Medical Center (Tier 1)

Member for

7 years 4 months

Submitted by Site Factory admin on Wed, 01/13/2021 - 00:10

Service Benefit Category Id

11800

Steerage 5

Member for

7 years 4 months

Submitted by Site Factory admin on Wed, 01/13/2021 - 00:10

Service Benefit Category Id

11801

Steerage 6

Member for

7 years 4 months

Submitted by Site Factory admin on Wed, 01/13/2021 - 00:10

Service Benefit Category Id

11802

Steerage 7

Member for

7 years 4 months

Submitted by Site Factory admin on Wed, 01/13/2021 - 00:10

Service Benefit Category Id

11803

Steerage 8

Member for

7 years 4 months

Submitted by Site Factory admin on Wed, 01/13/2021 - 00:10

Service Benefit Category Id

11804

Other network providers - Tier 3

Member for

7 years 4 months

Submitted by Site Factory admin on Wed, 01/13/2021 - 00:10

Service Benefit Category Id

11805

Other PPO providers - Tier 3

Member for

7 years 4 months

Submitted by Site Factory admin on Wed, 01/13/2021 - 00:10

Service Benefit Category Id

11806