Administered by Express Scripts, Inc.
- Reduced price, three-month home delivery option for maintenance drugs direct from Express Scripts and from Walgreens
- Vaccine program added June 1, 2018, including free influenza, shingles, and childhood vaccines, as well as many more vaccines at the brand level co-pay
- $1250 maximum out-of-pocket for individual; $2500 maximum out-of-pocket for family
- Three levels of coverage:
|Generic||Brand Formulary||Brand Non-formulary|
|90-day fills||$16 co-pay||$85 co-pay||$140 co-pay|
|30-day fills||$8 co-pay||$40 co-pay||$65 co-pay|
|Swedish Covenant Hospital (30-day fills)*||$5 co-pay||$20 co-pay||$40 co-pay|
*Retirees over 65 not eligible for discounted co-pays at Swedish Covenant Hospital
- Download Formulary, claim forms and more here.