Prescription Drug
All medical plan options include prescription drug coverage. Your prescription drug coverage and out-of-pocket costs are based on your medical plan selection.
Plan Features
Anthem PPO & Anthem Co-Pay (EPO)
Kaiser HMO
Retail Pharmacy
Retail Pharmacy
Retail Pharmacy
Generic (Tier 1)
$5 co-pay (30-day supply)
$10 co-pay (up to 100-day supply)
Brand Name Formulary (Tier 2)
$25 co-pay (30-day supply)
$30 co-pay (up to 100-day supply)
Brand Name Non-Formulary (Tier 3)
$45 co-pay (30-day supply)
$30 co-pay (up to 100-day supply)
Retail Pharmacy
Retail Pharmacy
Retail Pharmacy
Generic (Tier 1)
$10 co-pay (90-day supply)
$10 co-pay (up to 100-day supply)
Brand Name Formulary (Tier 2)
$50 co-pay (90-day supply)
$30 co-pay (up to 100-day supply)
Brand Name Non-Formulary (Tier 3)
$90 co-pay (90-day supply)
$30 co-pay (up to 100-day supply)
Save on prescriptions
Go Generic: If you’re looking to minimize your out-of-pocket costs, use generic drug options when possible. Generic drugs have the same active ingredients as their brand name counterparts, but your co-pay will be less.
Mail-Order: If you’re taking a medication for a chronic condition, you can also save money by utilizing mail-order options, offering convenience and a larger supply.