The table below shows your co-payment for drugs, depending on the type of drug (generic, preferred or non-preferred) and whether you obtain the drug at a retail drug store or through the mail order pharmacy.
In-Network Retail Provider | Mail Order | |
Generic drugs | $5 co-pay for 30-day supply | Mail order is $10 for a 90-day supply. |
Preferred brand drugs | $35 co-pay for 30-day supply | Mail order is $70 for a 90-day supply. |
Non-preferred brand drugs | $60 co-pay for 30-day supply | Mail order is $120 for a 90-day supply. |
Specialty drugs | Call EmpiRx at 1-877-241-7123 for details. |
The above co-payments are in effect for all active members, retired members not on Medicare.