HMSA Rx

PARTNER | Hawaii medical service association (HMsa)

PHARMACY (Rx)

You will automatically be enrolled in the prescription drug plan that is coupled with the HMSA medical plan .

HMSA (Hawaii Medical Service Association)

(808) 948-5555

hmsa.com

PHARMACY COPAYS | PPO PLAN PRO TIP: Hover over each benefit below for more information

Retail Pharmacy Coverage
(up to 30-day supply)

  • Tier 1 - Generic | $7 Copay A generic drug is a medication created to be the same as an already marketed brand-name drug in dosage form, safety, strength, route of administration, quality, performance characteristics, and intended use.
  • Tier 2 - Preferred Formulary | $30 Copay
  • Tier 3 - Non-Preferred Formulary | $30 Copay

Retail Pharmacy Coverage
(up to 90-day supply)

  • Tier 1 - Generic | $11 Copay A generic drug is a medication created to be the same as an already marketed brand-name drug in dosage form, safety, strength, route of administration, quality, performance characteristics, and intended use.
  • Tier 2 - Preferred Formulary | $65 Copay
  • Tier 3 - Non-Preferred Formulary | $65 Copay

RESOURCE LIBRARY

DID YOU KNOW

In addition to your Tier 3 copay, you will be responsible for an additional $45 Tier 3 cost share per retail copay. Cost to you for retail Tier 3 drugs: One copay plus one Tier 3  cost share for 1-30 day supply. , two copays plus two Tier 3 cost shares for 31-60 day supply, and three copays plus three Tier 3 cost shares for 61-90 day supply.