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
Deductible²	N/A	N/A	N/A	$250	Deductible	N/A	N/A
Generic Formulary	$10	$15	$20	$20	Generic	$7	$4
Brand Formulary	$20	$35	$40	$40	Brand	50% of discounted4 price up to $125 maximum member payment per prescription	Discount4 available
Non-Formulary Brand	$35	$50	$60	$60

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.