Benefits
About Benefits
The prescription drug benefit is provided to help you pay for take home prescription drugs you purchase from a pharmacy or through mail order. To combat the escalating cost of prescription drugs, the Trustees have selected the RxAmerica network for prescription drug coverage. The prescription drug benefit will cover any drug that:
- Is prescribed by a licensed physician;
- Must be obtained by prescription;
- Has been approved by the Food and Drug Administration for general marketing by RxAmerica;
- Is dispensed bya licensed pharmacist.
When you enroll in the indemnity medical plan, you are automatically covered by this prescription drug benefit. If you are enrolled in the HMO, you will be covered under the HMO prescription drug benefit.
Generic - $8
Brand with no generic available - Formulary - $20
Brand with no generic available - Non-Formulary - $30
If brand name drug is dispensed when a generic exists, participant pays $8 generic payment, plus the difference in cost between brand name and generic.
Maintenance Drugs can be purchased through mail-order provider. A three month supply can be ordered for cost of one month of applicable payment, i.e. three months of a formulatory prescription would cost $20, etc.