Prescription Benefit

Administered by Express Scripts

  • 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:
 GenericBrand FormularyBrand 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

Download formulary, claim forms, and more here >>