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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
DEDUCTIBLE
MAXIMUM BENEFITS PAYABLE
MONTHLY RATES
PRIMARY
PRIMARY + SPOUSE
PRIMARY + CHILD(REN)
FAMILY
PLAN BENEFITS
FORMULARY
PROGRAM INFORMATION
DEDUCTIBLE
MAXIMUM BENEFITS PAYABLE
MONTHLY RATES
PRIMARY
PRIMARY + SPOUSE
PRIMARY + CHILD(REN)
FAMILY
PLAN BENEFITS
FORMULARY
DEDUCTIBLE
Per Member/Year
RETAIL CO-PAY
MAIL ORDER CO-PAY
MAXIMUM BENEFITS PAYABLE
Per Member/Month
MONTHLY RATES
PRIMARY
PRIMARY + SPOUSE
PRIMARY + CHILD(REN)
FAMILY
AFFORDABLE
NO DEDUCTIBLE
NO LIMITS
$42.62
$80.98
$74.59
$98.03
AFFORDABLE
UNLIMITED
NO DEDUCTIBLE
NO LIMITS
$42.62
$80.98
$74.59
$98.03
AFFORDABLE
$0
$10 FG
100% FB
100% NF
$30 FG
100% FB
100% NF
$300
$42.62
$80.98
$74.59
$98.03
SIGNATURE
NO DEDUCTIBLE
NO LIMITS
$59.52
$113.09
$104.16
$136.90
SIGNATURE
UNLIMITED
NO DEDUCTIBLE
NO LIMITS
$59.52
$113.09
$104.16
$136.90
SIGNATURE
$100
$10 FG
$50 OR 50%* FB
100% NF
$30 FG
$150 OR 50%* FB
100% NF
$400
$59.52
$113.09
$104.16
$136.90
ENHANCED
NO DEDUCTIBLE
NO LIMITS
$120.80
$229.52
$211.40
$277.84
ENHANCED
UNLIMITED
NO DEDUCTIBLE
NO LIMITS
$120.80
$229.52
$211.40
$277.84
ENHANCED
$100
$10 FG
$30 OR 50%* PB
$70 OR 50%* NPB
$30 FG
$90 OR 50%* PB
$210 OR 50%* NPB
$500
$120.80
$229.52
$211.40
$277.84
* Whichever is greater
Learn More
FG = Formulary Generic
FB = Formulary Brand
NF = Non-Formulary
PB = Preferred Brand
NPB = Non-Preferred Brand
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
DEDUCTIBLE
MAXIMUM BENEFITS PAYABLE
MONTHLY RATES
PRIMARY
PRIMARY + SPOUSE
PRIMARY + CHILD(REN)
FAMILY
PLAN BENEFITS
FORMULARY
PROGRAM INFORMATION
DEDUCTIBLE
MAXIMUM BENEFITS PAYABLE
MONTHLY RATES
PRIMARY
PRIMARY + SPOUSE
PRIMARY + CHILD(REN)
FAMILY
PLAN BENEFITS
FORMULARY
DEDUCTIBLE
Per Member/Year
RETAIL CO-PAY
MAIL ORDER CO-PAY
MAXIMUM BENEFITS PAYABLE
Per Member/Month
MONTHLY RATES
PRIMARY
PRIMARY + SPOUSE
PRIMARY + CHILD(REN)
FAMILY
AFFORDABLE+RxBoost
NO DEDUCTIBLE
NO LIMITS
$72.62
$137.98
$127.59
$167.03
AFFORDABLE+RxBoost
UNLIMITED
NO DEDUCTIBLE
NO LIMITS
$72.62
$137.98
$127.59
$167.03
AFFORDABLE+RxBoost
$0
$10 FG
100% FB
100% NF
$30 FG
100% FB
100% NF
$300
$72.62
$137.98
$127.59
$167.03
SIGNATURE+RxBoost
NO DEDUCTIBLE
NO LIMITS
$89.52
$170.09
$157.16
$205.90
SIGNATURE+RxBoost
UNLIMITED
NO DEDUCTIBLE
NO LIMITS
$89.52
$170.09
$157.16
$205.90
SIGNATURE+RxBoost
$100
$10 FG
$50 OR 50%* FB
100% NF
$30 FG
$150 OR 50%* FB
100% NF
$400
$89.52
$170.09
$157.16
$205.90
ENHANCED+RxBoost
NO DEDUCTIBLE
NO LIMITS
$150.80
$286.52
$264.40
$346.84
ENHANCED+RxBoost
UNLIMITED
NO DEDUCTIBLE
NO LIMITS
$150.80
$286.52
$264.40
$346.84
ENHANCED+RxBoost
$100
$10 G
$30 OR 50%* PB
$70 OR 50%* NPB
$30 G
$90 OR 50%* PB
$210 OR 50%* NPB
$500
$150.80
$286.52
$264.40
$346.84
* 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
PB = Preferred Brand
NPB = Non-Preferred Brand
RxCAP PROGRAM
Rx CAP is a valuable way to obtain access to network contracted rates, without worrying about deductibles or maximum benefit limits. With an unlimited formulary, and zero plan rules, members have freedom seldom available to them in the benefit marketplace today.
State restrictions may apply.
PLAN BENEFITS
FORMULARY
DEDUCTIBLE
MAXIMUM BENEFITS PAYABLE
MONTHLY RATES
PRIMARY
PRIMARY + SPOUSE
PRIMARY + CHILD(REN)
FAMILY
PLAN BENEFITS
FORMULARY
PROGRAM INFORMATION
DEDUCTIBLE
MAXIMUM BENEFITS PAYABLE
MONTHLY RATES
PRIMARY
PRIMARY + SPOUSE
PRIMARY + CHILD(REN)
FAMILY
PLAN BENEFITS
FORMULARY
DEDUCTIBLE
Per Member/Year
RETAIL CO-PAY
MAIL ORDER CO-PAY
MAXIMUM BENEFITS PAYABLE
Per Member/Month
MONTHLY RATES
PRIMARY
PRIMARY + SPOUSE
PRIMARY + CHILD(REN)
FAMILY
Rx CAP
NO DEDUCTIBLE
NO LIMITS
$20.00
$35.00
$35.00
$35.00
Rx CAP
UNLIMITED
NO DEDUCTIBLE
NO LIMITS
$20.00
$35.00
$35.00
$35.00
Rx CAP
$0
$5 G
$10 G
$40 G
$200 PB
$400 NPB
100% NF
$0
$20.00
$35.00
$35.00
$35.00
* Whichever is greater
Rx CAP Drug Plan

Rx CAP is a valuable way to obtain access to network contracted rates, without worrying about deductibles or maximum benefit limits. With an unlimited formulary, and zero plan rules, members have freedom seldom available to them in the benefit marketplace today. Estimated costs are based on PRAM’s average cost per prescription, and member can expect to pay, on average, LESS than the estimated cap amounts listed per drug in each applicable tier. Estimated per drug costs are not guaranteed. Depending on the specific pharmacy, NDC, quantity, and dosage, there are times in which members could pay more than the estimated member cost cap.
This program is not Insurance. PRAM makes no warranties, guarantees, or representations as to the cost outcome of each individual’s particular prescription fill.
FG = Formulary Generic
FB = Formulary Brand
NF = Non-Formulary
PB = Preferred Brand
NPB = Non-Preferred Brand
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.
State restrictions may apply.
PLAN BENEFITS
FORMULARY
DEDUCTIBLE
MAXIMUM BENEFITS PAYABLE
MONTHLY RATES
PRIMARY
PRIMARY + SPOUSE
PRIMARY + CHILD(REN)
FAMILY
PLAN BENEFITS
FORMULARY
PROGRAM INFORMATION
DEDUCTIBLE
MAXIMUM BENEFITS PAYABLE
MONTHLY RATES
PRIMARY
PRIMARY + SPOUSE
PRIMARY + CHILD(REN)
FAMILY
PLAN BENEFITS
FORMULARY
DEDUCTIBLE
Per Member/Year
RETAIL CO-PAY
MAIL ORDER CO-PAY
MAXIMUM BENEFITS PAYABLE
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
$0.0 G
$0.0 PB
$0.0 NPB
$0.0 G
$0.0 PB
$0.0 NPB
$0
$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
PB = Preferred Brand
NPB = Non-Preferred Brand
FULLY INSURED PHARMACY PROGRAMS SeniorRx
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
DEDUCTIBLE
MAXIMUM BENEFITS PAYABLE
MONTHLY RATES
PRIMARY
PRIMARY + SPOUSE
PRIMARY + CHILD(REN)
FAMILY
PLAN BENEFITS
FORMULARY
PROGRAM INFORMATION
DEDUCTIBLE
MAXIMUM BENEFITS PAYABLE
MONTHLY RATES
PRIMARY
PRIMARY + SPOUSE
PRIMARY + CHILD(REN)
FAMILY
PLAN BENEFITS
FORMULARY
DEDUCTIBLE
Per Member/Year
RETAIL CO-PAY
MAIL ORDER CO-PAY
MAXIMUM BENEFITS PAYABLE
Per Member/Month
MONTHLY RATES
PRIMARY
PRIMARY + SPOUSE
PRIMARY + CHILD(REN)
FAMILY

AFFORDABLE 65+

NO DEDUCTIBLE
NO LIMITS
$44.87
$85.26
$78.53
$103.21

AFFORDABLE 65+

UNLIMITED
NO DEDUCTIBLE
NO LIMITS
$44.87
$85.26
$78.53
$103.21

AFFORDABLE 65+

$100
$10 FG
100% FB
100% NF
$30 FG
100% FB
100% NF
$300
$44.87
$85.26
$78.53
$103.21

SIGNATURE 65+

NO DEDUCTIBLE
NO LIMITS
$94.82
$180.15
$165.93
$218.08

SIGNATURE 65+

UNLIMITED
NO DEDUCTIBLE
NO LIMITS
$94.82
$180.15
$165.93
$218.08

SIGNATURE 65+

$100
$10 FG
$50 OR 50%* FB
100% NF
$30 FG
$150 OR 50%* FB
100% NF
$400
$94.82
$180.15
$165.93
$218.08

ENHANCED 65+

NO DEDUCTIBLE
NO LIMITS
$130.20
$247.38
$227.85
$299.46

ENHANCED 65+

UNLIMITED
NO DEDUCTIBLE
NO LIMITS
$130.20
$247.38
$227.85
$299.46

ENHANCED 65+

$100
$10 G
$30 OR 50%* PB
$70 OR 50%* NPB
$30 G
$90 OR 50%* PB
$210 OR 50%* NPB
$500
$130.20
$247.38
$227.85
$299.46
* Whichever is greater
Learn More
FG = Formulary Generic
FB = Formulary Brand
NF = Non-Formulary
PB = Preferred Brand
NPB = Non-Preferred Brand
Save your members money on speciality prescriptions by getting pram's speciality product!
FG = Formulary Generic
FB = Formulary Brand
NF = Non-Formulary
PB = Preferred Brand
NPB = Non-Preferred Brand
* Whichever is greater
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