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Pharmacy

Pharmacy Benefits

Pill bottle

Both Health Plan Levels: Ultimate and Best have the same Prescription Benefits with identical cost sharing. As of 01/01/2022, there are no more preferred network pharmacies. 

 

Your benefits include:

  • 90 Day Supply
  • $10 co-pay per month for generics (one month is $10, three months is $30)
  • Minimum of $15 co-pay for preferred brand medications or 25% of the approved cost
  • Minimum of $40 co-pay for non-preferred brand medications or 45% of the approved cost
  • The maximum out of pocket expense per 30-day prescription is $100 and $300 per 90-day prescription.

*Maximum out of Pocket Expenses can be adjusted annually by Board of County Commissioners, refer to the benefits section for current values.

Specialty Pharmacy Benefit

Minimum of 25% up to $150 Prescription Maximum Out-of Pocket Expenses. This applies to brand and generic specialty medications.

Mail Order Benefit

You can use mail order services offered through OptumRx to fill your prescriptions. Go to the Optum Rx Website or call 800-562-6223 for details.

Meet Your Pharmacy Advocate

Keara Reaves

Pharmacy Benefits Specialist

Meet Keara, a dynamic professional who embarked on her journey in the medical field with CVS Pharmacy back in 2012. Since then, she's been weaving her magic as a pharmacy technician, bringing expertise and dedication to every task she undertakes. With experience spanning hospital, specialty, and closed-door pharmacy settings, Keara has honed her skills and knowledge to serve patients in diverse healthcare environments.

Keara Reaves