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a nurse is caring for a client who is on bed rest and has a new prescription for enoxaparin. How Does Clear Spring Health Premier Rx Coverage Work? With Health Premier Rx, you'll have an annual deductible of $480 that applies to drugs in tiers 3, 4 and 5 in 2022.Once your deductible has been reached, you'll have copayments or coinsurance charges each time you fill a.