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VIRTUAL RX PROGRAM
This comprehensive ALL VIRTUAL program comes with a host of NON-INSURED VIRTUAL discount services including: Urgent Care, Behavioral, Dermatology, Vision, & Hearing. To round out the program, it also includes an INSURED PRESCRIPTION plan which gives you access to a select list of acute care medications available at a ZERO DOLLAR COPAY! State restrictions may apply.
PLAN BENEFITS
FORMULARY
BROCHURE
DEDUCTIBLE
PLAN BENEFIT LIMIT
MONTHLY RATES
PRIMARY
PRIMARY + SPOUSE
PRIMARY + CHILD(REN)
FAMILY
PLAN BENEFITS
FORMULARY
PROGRAM INFORMATION
DEDUCTIBLE
PLAN BENEFIT LIMIT
MONTHLY RATES
PRIMARY
PRIMARY + SPOUSE
PRIMARY + CHILD(REN)
FAMILY
PLAN BENEFITS
FORMULARY
BROCHURE
DEDUCTIBLE
Per Member/Year
RETAIL CO-PAY
MAIL ORDER CO-PAY
PLAN BENEFIT LIMIT
Per Member/Month
MONTHLY RATES
PRIMARY
PRIMARY + SPOUSE
PRIMARY + CHILD(REN)
FAMILY
VirtualRx
NO DEDUCTIBLE
NO LIMITS
$32.00
$32.00
$32.00
$32.00
VirtualRx
UNLIMITED
NO DEDUCTIBLE
NO LIMITS
$32.00
$32.00
$32.00
$32.00
VirtualRx
$0
$0 FG
100% FB
100% NF
$0 FG
100% FB
100% NF
NO LIMITS
$32.00
$32.00
$32.00
$32.00
VirtualRx+RxBoost
NO DEDUCTIBLE
NO LIMITS
$62.00
$89.00
$85.00
$101.00
VirtualRx+RxBoost
UNLIMITED
NO DEDUCTIBLE
NO LIMITS
$62.00
$89.00
$85.00
$101.00
VirtualRx+RxBoost
$0
$0 FG
100% FB
100% NF
$0 FG
100% FB
100% NF
NO LIMITS
$62.00
$89.00
$85.00
$101.00
* Whichever is greater
Learn More
FG = Formulary Generic
FB = Formulary Brand
NF = Non-Formulary
FULLY INSURED PHARMACY PROGRAMS
These fully insured programs are created with the average US population in mind. Good Coverage with inexpensive pricing. Service in nearly all 50 states. Including 67,000+ pharmacies across the U.S. Products are budget friendly. Non-formulary drugs are provided at a drug discount rate. State restrictions may apply.
PLAN BENEFITS
FORMULARY
BROCHURE
DEDUCTIBLE
PLAN BENEFIT LIMIT
MONTHLY RATES
PRIMARY
PRIMARY + SPOUSE
PRIMARY + CHILD(REN)
FAMILY
PLAN BENEFITS
FORMULARY
PROGRAM INFORMATION
DEDUCTIBLE
PLAN BENEFIT LIMIT
MONTHLY RATES
PRIMARY
PRIMARY + SPOUSE
PRIMARY + CHILD(REN)
FAMILY
PLAN BENEFITS
FORMULARY
BROCHURE
DEDUCTIBLE
Per Member/Year
RETAIL CO-PAY
MAIL ORDER CO-PAY
PLAN BENEFIT LIMIT
Per Member/Month
MONTHLY RATES
PRIMARY
PRIMARY + SPOUSE
PRIMARY + CHILD(REN)
FAMILY
EXCLUSIVE
NO DEDUCTIBLE
NO LIMITS
$30.00
$30.00
$30.00
$30.00
EXCLUSIVE
UNLIMITED
NO DEDUCTIBLE
NO LIMITS
$30.00
$30.00
$30.00
$30.00
EXCLUSIVE
$0
$0 FG
100% FB
100% NF
$0 FG
100% FB
100% NF
NO LIMITS
$30.00
$30.00
$30.00
$30.00
AFFORDABLE
NO DEDUCTIBLE
NO LIMITS
$40.11
$76.20
$70.18
$92.24
AFFORDABLE
UNLIMITED
NO DEDUCTIBLE
NO LIMITS
$40.11
$76.20
$70.18
$92.24
AFFORDABLE
$0
$10 FG
100% FB
100% NF
$30 FG
100% FB
100% NF
$100
$40.11
$76.20
$70.18
$92.24
SIGNATURE
NO DEDUCTIBLE
NO LIMITS
$77.56
$147.36
$135.73
$178.38
SIGNATURE
UNLIMITED
NO DEDUCTIBLE
NO LIMITS
$77.56
$147.36
$135.73
$178.38
SIGNATURE
$100
$10 FG
$50 OR 50%* FB
100% NF
$30 FG
$150 OR 50%* FB
100% NF
$300
$77.56
$147.36
$135.73
$178.38
* Whichever is greater
Learn More
FG = Formulary Generic
FB = Formulary Brand
NF = Non-Formulary
FULLY INSURED PHARMACY PROGRAMS
+ RxBOOST SPECIALTY
Boost your PRAM fully insured plan by adding RxBoost; a valuable Specialty Drug Program. Member can pay as little as $0 for their expensive medication under this program. Program is used for high cost drugs beginning at $1,000 retail and $2,000 mail order.
PLAN BENEFITS
FORMULARY
BROCHURE
DEDUCTIBLE
PLAN BENEFIT LIMIT
MONTHLY RATES
PRIMARY
PRIMARY + SPOUSE
PRIMARY + CHILD(REN)
FAMILY
PLAN BENEFITS
FORMULARY
PROGRAM INFORMATION
DEDUCTIBLE
PLAN BENEFIT LIMIT
MONTHLY RATES
PRIMARY
PRIMARY + SPOUSE
PRIMARY + CHILD(REN)
FAMILY
PLAN BENEFITS
FORMULARY
BROCHURE
DEDUCTIBLE
Per Member/Year
RETAIL CO-PAY
MAIL ORDER CO-PAY
PLAN BENEFIT LIMIT
Per Member/Month
MONTHLY RATES
PRIMARY
PRIMARY + SPOUSE
PRIMARY + CHILD(REN)
FAMILY
EXCLUSIVE+RxBOOST
NO DEDUCTIBLE
NO LIMITS
$60.00
$87.00
$83.00
$99.00
EXCLUSIVE+RxBOOST
UNLIMITED
NO DEDUCTIBLE
NO LIMITS
$60.00
$87.00
$83.00
$99.00
EXCLUSIVE+RxBOOST
$0
$0 FG
100% FB
100% NF
$0 FG
100% FB
100% NF
NO LIMITS
$60.00
$87.00
$83.00
$99.00
AFFORDABLE+RxBOOST
NO DEDUCTIBLE
NO LIMITS
$70.11
$133.20
$123.18
$161.24
AFFORDABLE+RxBOOST
UNLIMITED
NO DEDUCTIBLE
NO LIMITS
$70.11
$133.20
$123.18
$161.24
AFFORDABLE+RxBOOST
$0
$10 FG
100% FB
100% NF
$30 FG
100% FB
100% NF
$100
$70.11
$133.20
$123.18
$161.24
SIGNATURE+RxBOOST
NO DEDUCTIBLE
NO LIMITS
$107.56
$204.36
$188.73
$247.38
SIGNATURE+RxBOOST
UNLIMITED
NO DEDUCTIBLE
NO LIMITS
$107.56
$204.36
$188.73
$247.38
SIGNATURE+RxBOOST
$100
$10 FG
$50 OR 50%* FB
100% NF
$30 FG
$150 OR 50%* FB
100% NF
$300
$107.56
$204.36
$188.73
$247.38
* Whichever is greater
These fully insured programs are created with the average US population in mind. Good Coverage with inexpensive pricing. Service in nearly all 50 states. Including 67,000+ pharmacies across the U.S. Products are budget friendly. Non-formulary drugs are provided at a drug discount rate. State restrictions may apply.
FG = Formulary Generic
FB = Formulary Brand
NF = Non-Formulary
RxBOOST SPECIALTY
+ FREE Discount card
PRAM’s valuable Specialty Drug Program. Member can pay as little as $0 for their expensive medication under this program. Program is used for high cost drugs beginning at $1,000 retail and $2,000 mail order.
PLAN BENEFITS
FORMULARY
BROCHURE
DEDUCTIBLE
PLAN BENEFIT LIMIT
MONTHLY RATES
PRIMARY
PRIMARY + SPOUSE
PRIMARY + CHILD(REN)
FAMILY
PLAN BENEFITS
FORMULARY
PROGRAM INFORMATION
DEDUCTIBLE
PLAN BENEFIT LIMIT
MONTHLY RATES
PRIMARY
PRIMARY + SPOUSE
PRIMARY + CHILD(REN)
FAMILY
PLAN BENEFITS
FORMULARY
BROCHURE
DEDUCTIBLE
Per Member/Year
RETAIL CO-PAY
MAIL ORDER CO-PAY
PLAN BENEFIT LIMIT
Per Member/Month
MONTHLY RATES
PRIMARY
PRIMARY + SPOUSE
PRIMARY + CHILD(REN)
FAMILY
RxBOOST
NO DEDUCTIBLE
NO LIMITS
$30.00
$57.00
$53.00
$69.00
RxBOOST
UNLIMITED
NO DEDUCTIBLE
NO LIMITS
$30.00
$57.00
$53.00
$69.00
RxBOOST
$0
100% FG
100% FB
100% NF
100% FG
100% FB
100% NF
NO LIMITS
$30.00
$57.00
$53.00
$69.00
* Whichever is greater
Rx BOOST Drug Plan
Includes FREE PRAM Discount Card

This program combines PRAM’s prescription drug discount card with Rx Boost, a valuable Specialty Drug Program which coordinates available programs that members are qualified to enroll in, and applies a patient advocacy program to provide the members with tremendous savings in obtaining normally expensive prescriptions.
This program is not Insurance. While it is possible a member can pay as little as $0 for their expensive medication under this program, PRAM makes no warranties, guarantees, or representations as to the outcome of each individual’s particular case.
FG = Formulary Generic
FB = Formulary Brand
NF = Non-Formulary
Save your members money on speciality prescriptions by getting pram's speciality product!
FG = Formulary Generic
FB = Formulary Brand
NF = Non-Formulary
* Whichever is greater

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