Administered by Express Scripts, Inc.
- Reduced price, three-month home delivery option for maintenance drugs direct from Express Scripts
- $1250 maximum out-of-pocket for individual; $2500 maximum out-of-pocket for family
- Three levels of coverage:
|Generic||Brand Formulary||Brand Non-formulary|
|Home delivery (three months)||$16 co-pay||$85 co-pay||$140 co-pay|
|Retail (monthly)||$8 co-pay||$40 co-pay||$65 co-pay|
|Swedish Covenant Hospital (monthly)*||$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.