All CDHP Plans IN NETWORK OUT - OF - NETWORK Retail Prescriptions: Generic 0% after Deductible 40% after Deductible Retail Prescriptions: Preferred 40% after Deductible 40% after Deductible Retail Prescriptions: Non-Preferred 50% after Deductible 40% after Deductible Mail Order Prescriptions: Generic 0% after Deductible Not Covered Mail Order Prescriptions: Preferred 40% after Deductible Not Covered Mail Order Prescriptions: Non-Preferred 50% after Deductible Not Covered

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