Choose prescription drug benefits. (optional)
With the Flex Series, you can choose from one of our popular Select Drug Program® options. The Select Drug Program 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.
Prescription Drug Coverages |
Option 1 |
Option 2 |
Option 3 |
Option 4 |
Option 5 |
Option 6 |
|---|---|---|---|---|---|---|
| Retail–up to a 30-day supply* | $10/$20/$35 | $0/$25/$50 | $5/$40/$60 | $15/$35/$50 | $20/$40/$60 | $250/$20/$40/$60 |
| Deductible** | $0 | $0 | $0 | $0 | $0 | $250 |
| Generic Formulary Copayment | $10 | $0 | $5 | $15 | $20 | $20 |
| Brand Formulary Copayment | $20 | $25 | $40 | $35 | $40 | $40 |
| Non-Formulary Brand Copayment | $35 | $50 | $60 | $50 | $60 | $60 |
* Mail order–up to a 90-day supply for two retail copayments.
** Deductible 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.