DRAFT_Prescriptions

Prescription plans are part of the Health Insurance plan.  Participants are encouraged to use Mail order or In-Network Pharmacies.  Using a non-network pharmacy will require the copay amount listed below as well as paying 25% of the BCBSM approved amount for the drug.

Co-Pay rates:  (In-Network)

For the BCBS Community Blue Plan (005):

Network Pharmacy

• Generic Drugs - $10
• Preferred Brand Name Drugs - $20
• Non-Preferred Brand Name Drugs - $40

 Mail Order Prescription Drugs (up-to 90 day supply)

• Generic Drugs - $10
• Preferred Brand Name Drugs - $20
• Non-Preferred Brand Name Drugs - $40

For the BCBS Community Blue High Deductible Plan (006):

Network Pharmacy

• Generic Drugs - $10
• Brand Name Drugs - $40

 Mail Order Prescription Drugs (up-to 90 day supply)

• Generic Drugs - $10
• Brand Name Drugs - $40

Enrollment and additional information for Mail Order Prescriptions contact:

www.medcohealth.com or 1-800-903-8346