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Lower tiers have the lowest copays and coinsurance costs, and the higher tiers have the highest copays and coinsurance costs
US$ 22.88
US$ 20.94
US$ 24.77
US$ 23.81
US$ 27.01
US$ 24.68
US$ 22.56
US$ 22.71
US$ 25.42
US$ 23.71
US$ 29.48
US$ 29.11
