Health & Welfare
Medical
Prescriptions
Prescriptions
Express Scripts
(Independence Active and Bronze Participants)
| Type of Drug | Retail Network Pharmacy (Up to a 30-Day Supply) |
Mail Order Home Delivery or Smart 90 |
|---|---|---|
| Generic | $10; $0 for prescription contraceptives | $25; $0 for prescription contraceptives |
| Preferred Brand | $40 | $100 |
| Non-preferred Brand | $60 | $150 |
| Specialty | $50 | $100 |
| Preferred/Non-Preferred Brand For Which There is a Generic Equivalent Available | You will be charged the brand copayment, plus the difference in cost between the brand and the generic | You will be charged the brand copayment, plus the difference in cost between the brand and the generic |
Routine maintenance medications are covered for a 30-day supply for only 2 fills. After the 2nd fill, you will pay the retail price for the medication unless you use the mail order pharmacy or visit a CVS Pharmacy for the Smart90 program to purchase a 90-day supply.
Express Scripts can help you arrange for at home delivery or locate a pharmacy.
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Kaiser
(Only in California, Colorado, Washington and Oregon, Bronze Plan Excluded)
| Type of Drug | Retail Network Pharmacy (Up to a 30-day Supply) |
Mail Order Pharmacy <sub">(CA: 100-Day Supply; CO: 90-day Supply) |
|---|---|---|
| Generic | $10; $0 for prescription contraceptives | $20; $0 for prescription contraceptives |
| Preferred Brand | $30 | $60 |
| Specialty | 20% Coinsurance (not to exceed $250 per 30-day supply) |
Contact Kaiser |
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