Once you have been charged the maximum amount in pharmacy co-payments in a benefit year (July 1 to June 30), you will no longer have to pay pharmacy co-payments until the next benefit year. This is called a pharmacy
co-payment cap (limit). We will send you a letter telling you that you have reached your pharmacy co-payment limit and that you do not have to pay any more pharmacy co-payments until the beginning of the next benefit year. The yearly pharmacy co-payment limits are:

• $200 for Plan Type I
• $500 for Plan Type II
• $800 for Plan Type III

You can’t be charged additional pharmacy co-payments for the rest of the year unless your Commonwealth Care Plan Type changes. If your Plan Type changes, you may have to start making pharmacy co-payments again, even if you had reached your pharmacy co-payment cap. We will apply the pharmacy co-payments you have already paid to your new Plan Type’s pharmacy co-payment cap amount.