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Does the 3-tier co-pay apply to ISEs and their eligible dependents?

co-pay dependents eligible ises
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Does the 3-tier co-pay apply to ISEs and their eligible dependents?

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If the ISE purchases drugs outside the U.S., the co-pay for a prescription drug covered by the Plan is $20 for up to a one-month supply. If an ISE purchases a drug in the U.S., he or she has the same 3-tier co-pay.

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