Pharmacy Coverage
Both medical plans offer pharmacy benefits through Cigna, our new pharmacy benefits manager. You may use a retail pharmacy for short-term use medication, and use home delivery for maintenance medication.
1 Out-of-network coinsurance varies by type of service. Please refer to plan SBC and plan documents.2 What you will pay after your deductible is met. 3 Copay waived if admitted.4 If you purchase a Preferred or Non-Preferred Brand Name drug when “Brand Medically Necessary” is not indicated on the prescription and a Generic equivalent is available, you will be required to pay the difference between the cost of the Generic and Preferred or Non-Preferred Brand Name drug plus the Preferred Brand Name copay (amount). If “Brand Medically Necessary” is written on the prescription, you will pay the Preferred or Non-Preferred Brand Name drug copay. 5 Step therapy and approval required.
