Page 16 - Franklin Madison 2021 Benefits Guide
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Prescription Drug Coverage
Franklin Madison’s prescription drug beneit is Prescription Drugs POS Basic & POS Consumer Choice
managed through Aetna. The Aetna program Enhanced with HSA
ofers you a choice in how and where you can ill Prescription Retail
your prescription. You can visit a retail pharmacy Generic $7 copay
or utilize the mail order pharmacy to obtain your Preferred Brand EE pays 30% (min 90% after
medication. Visit www.aetna.com or the Aetna $25, max $50) deductible
mobile app to ind a network pharmacy near you Non-Preferred EE pays 50% (min (50% for out-of-
$50, max $125)
Brand
network)
or call 888.792.3862 for more information. In $175 copay (1 ill
addition to mail order, you will be able to get a 90- Specialty only)
day ill at any CVS or Target Pharmacy. Prescription Mail Order (90-day supply)
Generic $20 copay
Preferred Brand $75 copay
Non-Preferred $125 copay 90% after
Brand deductible
Specialty $175 copay for 30-
day supply
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Franklin Madison’s prescription drug beneit is Prescription Drugs POS Basic & POS Consumer Choice
managed through Aetna. The Aetna program Enhanced with HSA
ofers you a choice in how and where you can ill Prescription Retail
your prescription. You can visit a retail pharmacy Generic $7 copay
or utilize the mail order pharmacy to obtain your Preferred Brand EE pays 30% (min 90% after
medication. Visit www.aetna.com or the Aetna $25, max $50) deductible
mobile app to ind a network pharmacy near you Non-Preferred EE pays 50% (min (50% for out-of-
$50, max $125)
Brand
network)
or call 888.792.3862 for more information. In $175 copay (1 ill
addition to mail order, you will be able to get a 90- Specialty only)
day ill at any CVS or Target Pharmacy. Prescription Mail Order (90-day supply)
Generic $20 copay
Preferred Brand $75 copay
Non-Preferred $125 copay 90% after
Brand deductible
Specialty $175 copay for 30-
day supply
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