PPO Advantage Prescription Drugs
The following chart describes the different costs associated with the pharmacy you choose based on your Medical Plan.
PPO Advantage Plans |
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Retail |
PRxN Pharmacy
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Summary of what you pay: |
up to |
up to |
up to |
| Generic | $10 | FREE | FREE |
| Preferred Brand |
$30 |
$30 |
$75 |
| Non-Preferred Brand |
$60 |
$60 |
$150 |
Important Information about your Prescription Drug Coverage
When you enroll for Medical coverage, you also receive prescription drug benefits that use a three-tier classification and pricing structure. It is mandatory for you to fill all prescriptions using generic drugs whenever they are available. If not, you are responsible for the full cost of the Brand Name Prescription. Specialty drugs can only be filled through the PRxN Pharmacy.
Out-of-Pocket Maximums
The annual out-of-pocket maximum includes deductibles, coinsurance and copays for medical and prescription drugs.