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Benefit highlights: mail order plan
When to Use
The most efficient way to fill prescriptions that you take for long-term or chronic conditions is through the Mail Order Service.

Days Supply
Through the Mail Order Service, you can purchase up to a 90-day supply of most prescription medications. There may be limitations on some prescriptions, such as controlled medications, subject to state and federal dispensing limitations.

Co-payment
Different co-payments may apply for certain medications.

For brand-name medications:
For medications that are on your plan's preferred drug list:
  • Your co-payment is $60.00.
For medications that are not on your plan's preferred drug list:
  • Your co-payment is $130.00.
For generic medications:
  • Your co-payment is $20.00.
For brand-name medications when a generic is available:
For medications that are on your plan's preferred drug list:
  • Your co-payment is $60.00.
If the patient requests a brand-name medication when a generic equivalent is available you will be responsible for your brand co-payment plus the difference in price between the brand-name medication and its generic equivalent.

For medications that are not on your plan's preferred drug list:
  • Your co-payment is $130.00.
If the patient requests a brand-name medication when a generic equivalent is available you will be responsible for your brand co-payment plus the difference in price between the brand-name medication and its generic equivalent.

Out-Of-Pocket
Your out-of-pocket expense is the maximum amount you will pay before your plan sponsor reduces your co-payments.

  • For an individual, the out-of-pocket maximum for prescriptions filled either at retail pharmacies or through mail order is $1000 every year.
  • For your family, the out-of-pocket maximum for prescriptions filled either at retail pharmacies or through mail order is $2000 every year.
  • Your out-of-pocket contributions start over every year beginning on January 01.
Deductibles, if applicable, and co-payments are applied to the out-of-pocket maximum. Once this maximum is met, subsequent claims are paid in full.

The out-of-pocket applies to all preferred and non-preferred medications.

This information is intended to serve as a general overview of your plan sponsor's prescription benefit program. Please note that the terms of your prescription benefit are subject to change. Please consult your plan sponsor for complete information.