Prescription drug coverage depends on whether the drugs are generic, formulary brand, or non-formulary brand; and where they are purchased.

Medical Center Pharmacy Only (located in the Physician Office Center)

  • $4 co-pay – generic (or 30%, whichever is less)
  • $15 co-pay – formulary brand (or 30%, whichever is less)
  • $25 co-pay – non-formulary brand (or 50%, whichever is less)

All Other Retail Pharmacies

  • Employee co-insurance (minimum $5 per prescription)
  • 30% co-pay – generic and formulary brand
  • 50% co-pay – non-formulary brand

Maintenance Medications (Medical Center Pharmacy only)

Employee co-pays for the 90-day supply for long-term maintenance prescriptions:

  • $10 co-pay generic (or 30% whichever is less)
  • $30 co-pay formulary brand (or 30% whichever is less)
  • $60 co-pay non-formulary brand (or 50% whichever is less)

*Certain medications used to treat chronic conditions are offered at NO Cost through the Medical Center Pharmacy only.

Biologic Specialty Medications (30 day maximum)

  • $11.67 for generic
  • $20.00 for formulary brand
  • $33.33 for non-formulary brand

**For detailed information regarding your benefit coverage, please visit the HR website on connect.