Prescription Drugs

Prescription Coverage

Prescription drug coverage includes coverage for generic, brand name drugs on a formulary, and also non-formulary brand name drugs. Some restrictions apply for non-formulary brand drugs. Coverage for prescriptions on the various health plans is as follows:

Benefit Summary

Drug Type
POS / OAP
HRA / HSA*
Generic
$7
10%
Formulary Brand
$28
25%
Non-formulary Brand
$50
40%

* Prescription drugs are treated as any other non-preventive, medical expense and are subject to the deductible and apply to the out-of-pocket.

Long Term

For long-term maintenance medications, mail-order pharmacy is available by paying two times the co-pay for 90 days supply. Administered by Express Scripts.