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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

Vanessa Rene, CPhT-Adv, RPhT

Pharmacy Technician / Benefits Specialist

Vanessa began her career in the medical field with the US Navy as a hospital corpsman and has been a pharmacy technician since 2009. She holds an Advanced Pharmacy Technician Certification by the Pharmacy Technician Certification Board and is registered with the State of Florida. Vanessa has a bachelor’s degree in Health Information Management. She has also earned the Google Data Analytics certificate

Vanessa Rene