Flex Series Prescription Drug Coverages
Choose prescription drug benefits. (optional)
With Flex Series, you can choose from our popular Select Drug Program® options or Basic Drug options.
The Select Drug Program options uses a prescription drug formulary and provides coverage based on a three-tier copayment incentive (e.g. $10 generic formulary/$20 brand formulary/$35 non-formulary brand). Members pay less when using formulary medications, but have access to covered non-formulary medications with a higher copayment.
With low copayments for generic drugs, Basic Drug Options are affordable and encourage generic drug use to control costs. Members also benefit from a discount on brand drugs at participating pharmacies.
|Select Drug Program Options||Option 1||Option 2||Option 3||Option 4||Basic Drug Options||Option 5||Option 6|
|Retail–up to a 30-day supply¹||$10/$20/$35||$15/$35/$50||$20/$40/$60||$250/$20/$40/$60||Retail–up to a 30-day supply³||$7/50% ($125)||$4/brand discount|
|Brand Formulary||$20||$35||$40||$40||Brand||50% of discounted4 price up to $125 maximum member payment per prescription||Discount4 available|
¹Mail order–up to a 90-day supply for two retail copayments.
²Deductible is applied per person per calendar year to all covered services purchased in network and out of network through a retail pharmacy or the mail order program.
³Mail order-up to a 90 day supply for two generic retail copayments and 50% of the brand discounted cost up to two times the retail maximum member payment or 100% of the brand discounted cost.
4Brand drugs vary in cost and cost-sharing is based on a discounted amount that was negotiated with the pharmacy.