Bronze
- 4 standard IV services per month, limit 1 per week
- No Add-ons
- No NAD
Silver
- 4 standard IV services per month, limit 1 per week
- 1 Add-on per IV (excluding NAD)
- 2 injectables per month, limit 1 per week
Gold
- 2 standard IV services per month, limit 1 per week
- 2 NAD IV services per month, limit 1 per week
- 2 Add-ons per IV
- 1 injectable per week, limit 4 per month
Platinum
- Any IV of your choice, limit 1 per week
- 2 Add-ons per IV
- 2 injectable per week, limit 8 per month