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Pharmacy Benefits Plan Enrollment

Enroll in prescription Drug Benefits under
NATIONAL GROUP MARKETING
Agent TRACY WALSTAD
tracy@sureplanfinancial.com
Cell 6023125622
Office 6023125622
COSTCARE RX
$0 on 570+ Meds, and 1,170 Meds for less than $5.
To Access the best possible pricing, use retail pharmacies for urgent care medications, and mail order for chronic care medications.
BENEFITS
FORMULARY
BROCHURE
DEDUCTIBLE
BENEFIT LIMIT
MONTHLY RATES
PRIMARY
PRIMARY + SPOUSE
PRIMARY + CHILD(REN)
FAMILY
BENEFITS
FORMULARY
PROGRAM INFORMATION
DEDUCTIBLE
BENEFIT LIMIT
MONTHLY RATES
PRIMARY
PRIMARY + SPOUSE
PRIMARY + CHILD(REN)
FAMILY
BENEFITS
FORMULARY
BROCHURE
DEDUCTIBLE
Per Member/Year
RETAIL CO-PAY
MAIL ORDER CO-PAY
BENEFIT LIMIT
Per Member/Month
MONTHLY RATES
PRIMARY
PRIMARY + SPOUSE
PRIMARY + CHILD(REN)
FAMILY
CostCareRx
CostCareRx Formulary
CostCareRx Brochure
NO DEDUCTIBLE
NO LIMITS
$25.00
$40.75
$40.75
$40.75
CostCareRx
UNLIMITED
NO DEDUCTIBLE
NO LIMITS
$25.00
$40.75
$40.75
$40.75
CostCareRx
CostCareRx Formulary
CostCareRx Brochure
$0
$0 FG
100% FB
100% NF
$0 FG
100% FB
100% NF
NO LIMITS
$25.00
$40.75
$40.75
$40.75
CostCareRx+RxBOOST
CostCareRx Formulary
RxBoost Formulary
CostCareRx Brochure
RxBoost Brochure
NO DEDUCTIBLE
NO LIMITS
$55.00
$97.75
$93.75
$109.75
CostCareRx+RxBOOST
UNLIMITED
NO DEDUCTIBLE
NO LIMITS
$55.00
$97.75
$93.75
$109.75
CostCareRx+RxBOOST
CostCareRx Formulary
RxBoost Formulary
CostCareRx Brochure
RxBoost Brochure
$0
$0 FG
100% FB
100% NF
$0 FG
100% FB
100% NF
NO LIMITS
$55.00
$97.75
$93.75
$109.75
* Whichever is greater
Learn More
FG = Formulary Generic
FB = Formulary Brand
NF = Non-Formulary
EXCLUSIVE RX
A select list of acute care & maintenance medications available at a ZERO DOLLAR COST! These medications are among the most commonly prescribed prescriptions.
BENEFITS
FORMULARY
BROCHURE
DEDUCTIBLE
BENEFIT LIMIT
MONTHLY RATES
PRIMARY
PRIMARY + SPOUSE
PRIMARY + CHILD(REN)
FAMILY
BENEFITS
FORMULARY
PROGRAM INFORMATION
DEDUCTIBLE
BENEFIT LIMIT
MONTHLY RATES
PRIMARY
PRIMARY + SPOUSE
PRIMARY + CHILD(REN)
FAMILY
BENEFITS
FORMULARY
BROCHURE
DEDUCTIBLE
Per Member/Year
RETAIL CO-PAY
MAIL ORDER CO-PAY
BENEFIT LIMIT
Per Member/Month
MONTHLY RATES
PRIMARY
PRIMARY + SPOUSE
PRIMARY + CHILD(REN)
FAMILY
ExclusiveRx
RxExclusive Formulary
ExclusiveRx Brochure
NO DEDUCTIBLE
NO LIMITS
$30.00
$30.00
$30.00
$30.00
ExclusiveRx
UNLIMITED
NO DEDUCTIBLE
NO LIMITS
$30.00
$30.00
$30.00
$30.00
ExclusiveRx
RxExclusive Formulary
ExclusiveRx Brochure
$0
$0 FG
100% FB
100% NF
$0 FG
100% FB
100% NF
NO LIMITS
$30.00
$30.00
$30.00
$30.00
ExclusiveRx+RxBOOST
RxExclusive Formulary
RxBoost Formulary
ExclusiveRx Brochure
RxBoost Brochure
NO DEDUCTIBLE
NO LIMITS
$60.00
$87.00
$83.00
$99.00
ExclusiveRx+RxBOOST
UNLIMITED
NO DEDUCTIBLE
NO LIMITS
$60.00
$87.00
$83.00
$99.00
ExclusiveRx+RxBOOST
RxExclusive Formulary
RxBoost Formulary
ExclusiveRx Brochure
RxBoost Brochure
$0
$0 FG
100% FB
100% NF
$0 FG
100% FB
100% NF
NO LIMITS
$60.00
$87.00
$83.00
$99.00
* Whichever is greater
Learn More
FG = Formulary Generic
FB = Formulary Brand
NF = Non-Formulary
VIRTUAL RX
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 a select list of acute care medications available at a ZERO DOLLAR COST! These medications are among the most commonly prescribed urgent care prescriptions.
BENEFITS
FORMULARY
BROCHURE
DEDUCTIBLE
BENEFIT LIMIT
MONTHLY RATES
PRIMARY
PRIMARY + SPOUSE
PRIMARY + CHILD(REN)
FAMILY
BENEFITS
FORMULARY
PROGRAM INFORMATION
DEDUCTIBLE
BENEFIT LIMIT
MONTHLY RATES
PRIMARY
PRIMARY + SPOUSE
PRIMARY + CHILD(REN)
FAMILY
BENEFITS
FORMULARY
BROCHURE
DEDUCTIBLE
Per Member/Year
RETAIL CO-PAY
MAIL ORDER CO-PAY
BENEFIT LIMIT
Per Member/Month
MONTHLY RATES
PRIMARY
PRIMARY + SPOUSE
PRIMARY + CHILD(REN)
FAMILY
VirtualRx
AcuteRx Formulary
VirtualRx Brochure
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
AcuteRx Formulary
VirtualRx Brochure
$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
AcuteRx Formulary
RxBoost Formulary
VirtualRx Brochure
RxBoost Brochure
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
AcuteRx Formulary
RxBoost Formulary
VirtualRx Brochure
RxBoost Brochure
$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
RxBOOST SPECIALTY
+ FREE Rx Discount card
PRAM’s valuable high-cost medication patient advocacy program. Members will receive assistance in obtaining medications costing $400 and up. Click on 'Learn More' or download brochure for more information about how the program works.
BENEFITS
FORMULARY
BROCHURE
DEDUCTIBLE
BENEFIT LIMIT
MONTHLY RATES
PRIMARY
PRIMARY + SPOUSE
PRIMARY + CHILD(REN)
FAMILY
BENEFITS
FORMULARY
PROGRAM INFORMATION
DEDUCTIBLE
BENEFIT LIMIT
MONTHLY RATES
PRIMARY
PRIMARY + SPOUSE
PRIMARY + CHILD(REN)
FAMILY
BENEFITS
FORMULARY
BROCHURE
DEDUCTIBLE
Per Member/Year
RETAIL CO-PAY
MAIL ORDER CO-PAY
BENEFIT LIMIT
Per Member/Month
MONTHLY RATES
PRIMARY
PRIMARY + SPOUSE
PRIMARY + CHILD(REN)
FAMILY
RxBOOST
RxBoost Formulary
RxBoost Brochure
PRAM Rx Discount Card
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
RxBoost Formulary
RxBoost Brochure
PRAM Rx Discount Card
$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
Learn More
RxBOOST Program
Includes FREE PRAM Rx Discount Card
This program combines PRAM’s prescription drug discount card with RxBoost, PRAM’s valuable high-cost medication patient advocacy program. Members will receive assistance in obtaining medications costing $400 and up. Advocacy assistance includes the confusing and laborious task of obtaining of Patient Assistance Programs (PAPs), where members can pay as little as $0 for their expensive medication, Copay Assistance Programs, and International Sourcing to ensure the members have access to the most inexpensive options when filling their scripts.
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
CANNABIS Rx PROGRAM
Cannabis Rx Program
The first nationwide program to offer benefits on THC and/or CBD, depending on state regulations. No copays, no deductibles, guaranteed approval.
State restrictions may apply.
Rx Discount card
One of the most comprehensive Rx discount cards on the market. Up to 80% savings on generics, brand, specialty, mail order, and new to market and over the counter drugs.
BENEFIT DESIGN OPTIONS
Provider Network Map
BROCHURE
AVERAGE MEMBER SAVINGS
DEDUCTIBLE
BENEFIT LIMIT
MONTHLY RATES
PRIMARY
PRIMARY + SPOUSE
PRIMARY + CHILD(REN)
FAMILY
THC ONLY
view map
Cannabis Rx flyer
PRAM Rx Discount Card
~ 40% savings on Cannabis Products Up to 80% prescription savings with Rx Discount card
NO DEDUCTIBLE
NO LIMITS
$24.95
$32.90
$34.90
$40.90
CBD ONLY
view map
Cannabis Rx flyer
PRAM Rx Discount Card
~ 40% savings on Cannabis Products Up to 80% prescription savings with Rx Discount card
NO DEDUCTIBLE
NO LIMITS
$19.95
$27.90
$29.90
$35.90
THC & CBD PLAN
view map
Cannabis Rx flyer
PRAM Rx Discount Card
~ 40% savings on Cannabis Products Up to 80% prescription savings with Rx Discount card
NO DEDUCTIBLE
NO LIMITS
$26.95
$34.90
$36.90
$42.90
* Whichever is greater
Learn More
Error! Please enroll at least one plan
Save your members money on speciality prescriptions by getting pram's speciality product!
Click Here to select a state
FG = Formulary Generic
FB = Formulary Brand
NF = Non-Formulary
* Whichever is greater
Error! Please select Plan to proceed
Error! Please select State to proceed

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