If you offer prescription drug coverage, members can get a 30-day supply of medications at a retail pharmacy. In-network prescription drug coverage is based on a three-tier incentive formulary. Out of the network, members are responsible for coinsurance.
| After Deductible Members Pay: | In-Network | Out-of-Network |
|---|---|---|
| Generic Formulary Copayment | $5 | 50% |
| Brand Formulary Copayment | $20 | 50% |
| Non-Formulary Copayment | $45 | 50% |