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PRESCRIPTION DRUGS

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Prescription drug benefits are part of your health care program. Benefits are administered by Anthem.

Participants in both the PPO and HSA Plan can obtain certain preventative drugs at no cost. However, the HSA Medical Plan offers a more extensive list of $0 preventive medications.

Covered Services HSA Plan PPO Plan
Generic

20% after deductible

0% after out-of-pocket
maximum met

 20% after deductible;
0% after out-of-pocket maximum met
Brand Formulary 25% after deductible;
0% after out-of-pocket maximum met
Brand Non-Formulary 40% after deductible;
0% after out-of-pocket maximum met
Specialty 30% after deductible ($200 maximum);
0% after out-of-pocket maximum met
Resources
National Direct Drug List 4 Tier
ACA Preventative Rx Drug List
Preventative Rx Basics Plus Drug List
Rx Optional Home Delivery Flier
Retail 90 Network Pharmacies
Retail 90 Network Pharmacies
Retail 90-day
Rx Web and Mobile