Active Member Info: Prescription Drug Coverage
Administered by Medco.
Summary
- Three-Tier Copayment Plan - Generic, Preferred Drugs and Non-Preferred Drugs
- Retail Prescriptions (up to 30-day supply) - Generic drug: $10; Preferred brand-name drug: $18, plus the cost difference between the brand and the generic; Non-preferred brand-name drug: $36, plus the cost difference between the brand and the generic
- Mail Order thru Medco By Mail (up to 90-day supply) - Generic drug: $15; Preferred brand-name drug: $27, plus the cost difference between the brand and the generic; Non-preferred brand-name drug: $54, plus the cost difference between the brand and the generic
- Retail Maintenance at a Rite Aid Pharmacy (up to 90-day supply) - Generic drug: $20; Preferred brand-name drug: $36, plus the cost difference between the brand and the generic; Non-preferred brand-name drug: $72, plus the cost difference between the brand and the generic
If you use a pharmacy that does not participate in the Medco network, you pay the full cost of your prescription. You must then file a claim with Medco in order to receive reimbursement.
To find out if your pharmacy participates with Medco, call your pharmacy or contact Medco at 800-899-2674.
For Copayment Information, log on to the Medco Web Site: www.medco.com. A link is provided from this web site. More information on the Prescription Drug Plan appears under the Publications/Forms section of this web site.
For more information, refer to your Summary Plan Description or contact the PEBTF.
