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Flecha, William
View All DetailsWilliam Flecha, PHD, MPH
View All Details- Phone Number(123) 123-1234
- Office Locations110 Calle Borinquen
Trujillo Alto, PR 00976
| 30 Day Supply | Preferred Retail Pharmacies | Non-Preferred Retail Pharmacies | Mail-Order Pharmacies |
|---|---|---|---|
| Tier 1: Preferred Generic | $4 copay | $10 copay | Not offered |
| Tier 2: Non-Preferred Generic | $10 copay | $20 copay | Not offered |
| Tier 3: Preferred Brand Name | $35 copay | $45 copay | Not offered |
| Tier 4: Non-Preferred Brand Name | $50 copay | $95 copay | Not offered |
| Tier 5: Specialty Tier | 25% coinsurance | 25% coinsurance | Not offered |
| 90 Day Supply | Preferred Retail Pharmacies | Non-Preferred Retail Pharmacies | Mail-Order Pharmacies |
|---|---|---|---|
| Tier 1: Preferred Generic | $8 copay | $20 copay | Not offered |
| Tier 2: Non-Preferred Generic | $20 copay | $40 copay | Not offered |
| Tier 3: Preferred Brand Name | $70 copay | $90 copay | Not offered |
| Tier 4: Non-Preferred Brand Name | $100 copay | $190 copay | Not offered |
| Tier 5: Specialty Tier | 25% coinsurance | 25% coinsurance | Not offered |
