- You pay
- This refers to your projected out-of-pocket costs for prescription drugs in a particular category, or "tier." This might include copayments, coinsurance, and any amount over and above a given prescription allowance.
- You pay/paid
- The estimated member responsibility, which is the dollar amount you are responsible for paying out of your own pocket for a claim. This amount may include deductible, copayment, coinsurance, and/or other non-covered services.