PRESCRIPTION DRUG BENEFITS
You the employee have the option of purchasing up to a 30-day supply at your local retail pharmacy or a 90-day supply through Express Scripts' mail order program. If you are on long-term "maintenance" Drugs, it may be beneficial to you to use the mail order option.
| Local Pharmacy Option |
Express Scripts Mail Order Option |
| Generic Drugs Copayment |
$10 |
Generic Drugs Copayment |
$15 |
| Formulary Brand Name Drugs Copayment |
$20 + 20% of cost of drug Capped at $80 |
Formulary Brand Name Drugs Copayment |
$40 + 20% of cost of drug Capped at $160 |
| Non-Formulary Brand Name Drugs Copayment |
$35 + 30% of cost of drug Capped at $150 |
Non-Formulary Brand Name Drugs Copayment |
$75 + 30% of cost of drug Capped at $300 |