PBM ATTACHMENT J004 - PRICE MODEL (XLSX)

Published: 11/16/2017

Description

Sheet1 Retail Pharmacy Claims Type AWP Discount % Proposed Price Transaction Fee Dispensing Fee Total Brand Name $ - 0 0% $ - 0 $ - 0 $ - 0 $ - 0 Generic $ - 0 0% $ - 0 $ - 0 $ - 0 $ - 0 Mail Order Claims Type AWP Discount %...

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