The Prescription Drug plan is administered by OptumRx.
Advantage (Copay) Rx Plan:
The CoPay medical plan includes a 4-tier copay prescription drug plan with in-network copays of $15, $50, $70 and 25% specialty Rx.
Maintenance drugs are available via the Optum Rx mail order program – you will pay a reduced cost for maintenance prescriptions ordered via the mail order program. 90-day supplies of maintenance Rx’s can also be picked up at any in-network pharmacy at a reduced cost.
HDP Rx Plan:
With the HDP medical and prescription drug plan, all costs apply to the member’s deductible. For in-network claims, the member will pay the contracted rate for all services including prescription drugs up until the member’s deductible/maximum out of pocket has been satisfied.
Health Savings Account (HSA)funds can be used to cover the cost of the prescriptions (as well as allowed medical, dental & vision out of pocket costs). If funds are not readily available at the time the Rx is filled, the employee can reimburse themselves later when there are funds in their HSA (provided that the charges occurred after the initial date the HSA was set up).