Express Scripts Administered by RxBenefits, Inc. (for Collective Health Members)

PARTNER | Express Scripts administered by RxBenefits, Inc. (For Collective Health members)

PHARMACY (Rx)

You will automatically be enrolled in the prescription drug plan that is coupled with the Collective Health medical plan you elected.

Express Scripts Administered By RxBenefits, Inc.

(800) 334-8134

rxbenefits.com

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

Retail Pharmacy Coverage
(up to 30-day supply)

  • Generic | $10 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.
  • Preferred Brand | 30% Coinsurance ($25 Minimum, $50 Maximum)
  • Non-Preferred | 45% Coinsurance ($40 Minimum, $80 Maximum)

Retail Pharmacy Coverage
(up to 90-day supply)

  • Maintenance Generic | $10 Copay
  • Maintenance Preferred Brand | $100 Copay
  • Maintenance Non-Preferred Brand | $160 Copay

Mail Order Copay
(up to 90-Day Supply)

  • Mail Order Generic | $10 Copay
  • Mail Order Preferred Brand | $100 Copay
  • Mail Order Non-Preferred Brand | $160 Copay

Specialty Medication Copays (aCcREDO)

  • Specialty Generic | $125 Copay
  • Specialty Preferred Brand | $125 Copay
  • Specialty Non-Preferred | $125 Copay

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

Retail Pharmacy Coverage
(up to 30-day supply)

  • Generic | 20% Coinsurance
  • Preferred Brand | 20% Coinsurance
  • Non-Preferred | 20% Coinsurance

Retail Pharmacy Coverage
(up to 90-day supply)

  • Maintenance Generic | 20% Coinsurance
  • Maintenance Preferred Brand | 20% Coinsurance
  • Maintenance Non-Preferred Brand | 20% Coinsurance

Mail Order Copay
(up to 90-Day Supply)

  • Mail Order Generic | 20% Coinsurance
  • Mail Order Preferred Brand | 20% Coinsurance
  • Mail Order Non-Preferred Brand | 20% Coinsurance

Specialty Medication Copays (aCcREDO)

  • Specialty Generic | 20% Coinsurance
  • Specialty Preferred Brand | 20% Coinsurance
  • Specialty Non-Preferred | 20% Coinsurance

RESOURCE LIBRARY

DID YOU KNOW

To keep your costs low, make sure to explore all options with your doctor when being prescribed a medication. Most brand-name drugs have a generic equivalent that is equal in strength, purity and quality. Preventive medications are covered at 100% and are not subject to your deductible or coinsurance.