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)

  • $20 co-pay – generic (or 30%, whichever is less)
  • $40 co-pay – formulary brand (or 30%, whichever is less)
  • $60 co-pay – non-formulary brand (or 50%, whichever is less)

All other Retail Pharmacies

  • Employee co-insurance (minimum $5 per prescription)
  • 40% generic and formulary brand
  • 60% non-formulary brand

Maintenance Medications (Medical Center Pharmacy only)

  • Employee co-pays for the 90-day supply for long-term maintenance prescriptions:
    • $20 co-pay generic (or 30%, whichever is less)
    • $60 co-pay formulary brand (or 30%, whichever is less)
    • $85 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)

  • $110 for generic
  • $170 for formulary brand
  • $260 for non-formulary brand

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