Choose prescription drug benefits. (optional)
With the AmeriHealth Flex Copay Programs, you can choose from one of our popular Select Drug Program® options. The Select Drug Program uses a prescription drug formulary and provides coverage based on a three-tier copayment incentive (e.g. $5 generic formulary/$10 brand formulary/$25 non-formulary brand). Members pay less when using formulary medications, but have access to covered non-formulary medications with a higher copayment.
Prescription Drug Coverages |
Option 1 |
Option 2 |
Option 3 |
Option 4 |
Option 5 |
Option 6 |
Option 7 |
 Option 8 |
Option 9 |
|---|---|---|---|---|---|---|---|---|---|
| Retail — up to a 30-day supply* | $5/$10/$25 | $5/$15/$25 | $5/$20/$35 | $10/$30/$50 | $10/$20/$35 | $15/$35/$50 | $20/$40/$60 | $0/$25/$50 | $5/$30/$50 |
| Generic Formulary Copayment | $5 | $5 | $5 | $10 | $10 | $15 | $20 | $0 | $5 |
| Brand Formulary Copayment | $10 | $15 | $20 | $30 | $20 | $35 | $40 | $25 | $30 |
| Non-Formulary Brand Copayment | $25 | $25 | $35 | $50 | $35 | $50 | $60 | $50 | $50 |
* Mail-order — up to a 90-day supply for two retail copayments.