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Participating retail pharmacy - Tier 3 (30-day supply)

Member for

7 years 10 months

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

Service Benefit Category Id

11231

Farmacia minorista participante - Nivel 3 (suministro para 30 días)

Member for

7 years 10 months

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

Service Benefit Category Id

11231

Tier 4 covered drugs

Member for

7 years 10 months

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

Service Benefit Category Id

11232

Medicamentos cubiertos del Nivel 4

Member for

7 years 10 months

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

Service Benefit Category Id

11232

Major Restorative Services - Members Eligible for Pediatric Essential Benefits

Member for

7 years 10 months

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

Service Benefit Category Id

11235

Servicios de restauración de envergadura - Miembros elegibles para beneficios pediátricos esenciales

Member for

7 years 10 months

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

Service Benefit Category Id

11235

With Choice PCP

Member for

7 years 10 months

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

Service Benefit Category Id

11307

Con PCP de Choice

Member for

7 years 10 months

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

Service Benefit Category Id

11307

Other preventive dental care

Member for

7 years 10 months

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

Service Benefit Category Id

11159

Otro tipo de atención odontológica preventiva

Member for

7 years 10 months

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

Service Benefit Category Id

11159