Nationwide Prescription Drug Plans

Prescription Drug Plan Options
The Right Prescription Plan
$10/$20/$40 Tiered Pricing Pharmacy Benefit
Our Tiered Pricing Pharmacy Plan saves money and takes the guess work out of paying for prescription medications.   This program segments brand name and generic drugs into three price classifications making it easier for members to consult with their physician to find the most effective medication at the lowest cost.  Discounts also apply to drugs not listed in one of the following tiers as well as maintenance medications purchased through the mail order program.

The three tiered pricing structure includes:
  • Tier I     Preferred brand and generic drugs available for $10 or less for the scheduled quantity and dose
  • Tier II    Preferred brand and generic drugs available for $20 or less for the scheduled quantity and dose
  • Tier III   Preferred brand and generic drugs available for $40 or less for the scheduled quantity and dose
Mail Order Pharmacy
To ensure members always save money on drugs priced at $10 or more, our unique mail order program complements the neighborhood pharmacy benefit.  Since most maintenance medications are purchased in 90 day supply, members maximize savings while enjoying the convenience of home delivery through the mail. Accuracy is assured by requiring every order to pass 7 checkpoints before shipping.

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Click Here for a Formulary Drug Listing Booklet

Fully Insured Prescription Benefit
The PRAM Rx network consists of over 50,000 national, regional and local chains and independent pharmacies. The Rx Plan also offers fully integrated mail order services that provide members the convenience of home delivery only mail service can offer. Our network currently manages over 2 million members located in all 50 states.

Generic Drugs: $15 co-pay for a 30 day supply
Preferred Brand Name Drugs: $50 co-pay or 50% (whichever is greater) for a 30 day supply
Non-Preferred Brand Name Drugs: Discount apply
  • Annual Maximum of $2,500 per insured person
  • Annual Maximum of $5,000 per insured family
  • No Deductible Over 2,200 preferred brand drugs included on formulary listing
Pharmacy discounts are not insurance and are not intended as a substitute for insurance.  The discount is only available at participating pharmacies.

Fully Insured Prescription Benefit
The ExpressScripts RX Network consists of over 49,000 regional and local chains and independent pharmacies. The Rx Plan also offers fully integrated mail order services that provide members the convenience of home delivery only mail service can offer. Our network currently manages over 2 million members located in all 50 states.

Generic Drugs: $5 co-pay for a 30 day supply
Brand Name Drugs: $25 co-pay for a 30 day supply

  • $150 monthly maximum ($1,800 annual) is a combined max for both Generic and Brand name drugs and is per covered person.  
 
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