Medication Costs
Generic Medications
30 Day Supply (Retail)
$10.00 Co-Pay
90 Day Supply (Mail Order)
$20.00 Co-Pay
Preferred Brand Medications
30 Day Supply (Retail)
25% Co-Pay
- minimum of $25 with a max of $200 Co-pay
90 Day Supply (Mail Order)
25% Co-Pay
- minmum of $50 with a max of $400 Co-pay
Non-Preferred Brand Medications
30 Day Supply (Retail)
40% Co-Pay
- minimum of $50 with a max of $300 Co-pay
90 Day Supply (Mail Order)
40% Co-Pay
- minmum of $100 with a max of $600 Co-pay
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.