| Icon | Restriction | Definition |
 | Age Restriction | Age Restriction. Click this symbol for more information. |
 | Female Only | Access limited to female members. |
 | Generic Drug | Generic drugs have the same active ingredient formula as a brand name drug. Generic drugs usually cost less than brand name drugs and are rated by the Food and Drug Administration (FDA) to be as safe and effective as brand name drugs. |
 | Male Only | Access limited to male members. |
 | Prescriber Note | Prescriber Note. Click this symbol for more information. |
 | Prior Authorization | This means that you will need to get approval from our Plan before you fill your prescriptions. If you don’t get approval, our Plan may not cover the drug.
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 | Quantity Limit | For certain drugs, our Plan limits the amount of the drug that our Plan will cover. Click on this symbol for more information. |
 | Quantity Limit | Quantity Limit Additional Details. |
 | Step Therapy | In some cases, our Plan requires you to first try certain drugs to treat your medical condition before we will cover another drug for that condition. For example, if Drug A and Drug B both treat your medical condition, our Plan may not cover drug B unless you try Drug A first. If Drug A does not work for you, our Plan will then cover Drug B. |