HOW YOUR PRESCRIPTION DRUG COVERAGE WORKS
Your medical plan includes prescription drug coverage, administered by Express Scripts. Keep in mind that you’ll pay less at the pharmacy when you stay in the Express Scripts network. You can also save money by exploring low-cost alternatives, such as generic medications, or by signing up for our mail order program for medications you take regularly to manage a health condition.
Pharmacy Benefits: Express Scripts
| Choice Plus Plan | HDHP Core Plan | HDHP Value Plan | |
|---|---|---|---|
| Network benefits only | Network benefits only | Network benefits only | |
| Retail prescriptions (30-day supply) | |||
| Generic | 15%, $15 minimum copay, $50 maximum copay | 25% after deductible | 30% after deductible |
| Brand formulary | 30%, $35 minimum copay, $125 maximum copay | 25% after deductible | 30% after deductible |
| Non-formulary | 50%, $75 minimum copay, $250 maximum copay | 25% after deductible | 30% after deductible |
| Mail-order prescriptions (90-day supply) | |||
| Generic | 15%, $30 minimum copay, $100 maximum copay | 25% after deductible | 30% after deductible |
| Brand formulary | 30%, $70 minimum copay, $250 maximum copay | 25% after deductible | 30% after deductible |
| Non-formulary | 50%, $150 minimum copay, $500 maximum copay | 25% after deductible | 30% after deductible |