PRESCRIPTION & PHARMACY COVERAGE
Your prescription drug plan through Express Scripts offers low co-pays for generic medication, a convenient way to get 90-day prescriptions filled, and a specialty pharmacy for some long term health conditions that require special medicines.
Medication Costs
New copayment and coinsurance rules for covered medications effective October 1, 2025
Generic Medications
30 Day Supply (Retail)
$5.00 Co-Pay
90 Day Supply (Mail Order)
$10.00 Co-Pay
Preferred Brand Medications
30 Day Supply (Retail)
25% Coinsurance
- $75 Maximum
90 Day Supply (Mail Order)
25% Coinsurance
- $150 Maximum
Non-Preferred Brand Medications
30 Day Supply (Retail)
40% Coinsurance
- No Maximum
90 Day Supply (Mail Order)
40% Coinsurance
- No Maximum
Individual OOP Max
$3,350 per plan year
Family OOP Max
$3,450 per plan year
Please note: once an individual or family has reached their OOP Max, the Fund will pay 100% for all further eligible claims for the duration of the Plan Year.
Prescribed a high cost specialty medication?
If so, contact Accredo Specialty Pharmacy.
