Page 9 - Fontbonne 2020 Benefits
P. 9
2020
Fontbonne University Enrollment Guide
PHARMACY Hassle-Free Fills!
Beginning in 2020, members will utilize OptumRx for pharmacy beneits. Members using the home
The programs below are intended to drive better decision making and delivery program with OptumRx
control rising pharmacy costs. can enroll in the Hassle-Free
automatic reills program.
Prior Authorizations (continued for 2020): some medications OptumRx will automatically
process, reill, and deliver your
require prior approval before your prescription will be covered prescriptions with no additional
Quantity Limitations (continued for 2020): quantity limits delivery charges. Members are
notiied each time a reill is
may apply to certain medications according to clinically approved processed. This program is no
prescribing guidelines cost to you!
Mail Service Saver Plus
Similar to current, members are required to ill maintenance medications
through OptumRx Home Delivery. By illing at a 90-day supply, members
pay the reduced 90-day supply copay rather than illing at the 30-day retail
copay each time. If you continue to utilize retail pharmacies to ill your
maintenance medications (after 3 grace reills), you will be responsible for
the full cost of the retail medication moving forward.
Specialty Medications
In an effort to control the rising cost of specialty medications, OptumRx
is requiring members to ill these medications through OptumRx’s
specialty pharmacy, BriovaRx. Specialty medication will continue to be
limited to a 30-day supply.
Premium Plan HSA Plan
In-Network In-Network
Deductible, then the following
copays: no deductible on
maintenance medications
Generic $10 copay $10 copay
Preferred Brand $40 copay $30 copay
Non-Preferred Brand $60 copay $50 copay
Mail Order 2 times above copays for 2 times above copays for
90-day supply 90-day supply
Note: If you purchase a prescription drug from a non-network pharmacy, you are responsible for
any diference between what the non-network pharmacy charges and the amount which would
have been paid for the same prescription drug dispensed by a network pharmacy.
9
Fontbonne University Enrollment Guide
PHARMACY Hassle-Free Fills!
Beginning in 2020, members will utilize OptumRx for pharmacy beneits. Members using the home
The programs below are intended to drive better decision making and delivery program with OptumRx
control rising pharmacy costs. can enroll in the Hassle-Free
automatic reills program.
Prior Authorizations (continued for 2020): some medications OptumRx will automatically
process, reill, and deliver your
require prior approval before your prescription will be covered prescriptions with no additional
Quantity Limitations (continued for 2020): quantity limits delivery charges. Members are
notiied each time a reill is
may apply to certain medications according to clinically approved processed. This program is no
prescribing guidelines cost to you!
Mail Service Saver Plus
Similar to current, members are required to ill maintenance medications
through OptumRx Home Delivery. By illing at a 90-day supply, members
pay the reduced 90-day supply copay rather than illing at the 30-day retail
copay each time. If you continue to utilize retail pharmacies to ill your
maintenance medications (after 3 grace reills), you will be responsible for
the full cost of the retail medication moving forward.
Specialty Medications
In an effort to control the rising cost of specialty medications, OptumRx
is requiring members to ill these medications through OptumRx’s
specialty pharmacy, BriovaRx. Specialty medication will continue to be
limited to a 30-day supply.
Premium Plan HSA Plan
In-Network In-Network
Deductible, then the following
copays: no deductible on
maintenance medications
Generic $10 copay $10 copay
Preferred Brand $40 copay $30 copay
Non-Preferred Brand $60 copay $50 copay
Mail Order 2 times above copays for 2 times above copays for
90-day supply 90-day supply
Note: If you purchase a prescription drug from a non-network pharmacy, you are responsible for
any diference between what the non-network pharmacy charges and the amount which would
have been paid for the same prescription drug dispensed by a network pharmacy.
9
