Retail Retail cost-sharing All network retail pharmacies 
For generic drugs (including  30-day supply 90-day supply* 
brand drugs treated as generic), 
either: $0 $0 
For all other drugs ,either: $0 $0 
Other pharmacies are available in our network. 
*Some drugs are limited to a30-day supply 12 Summary of Benefits H1036235000SB23 H1036235000 To find out if you qualify for "Extra Help," please contact the Social Security Office at 1-800-772-1213