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Fontbonne University
Pharmacy
Prescription beneits are included within the medical plan options
available to Fontbonne University faculty and staff. When you obtain your
medications at a pharmacy, you will be responsible for satisfying a copay
which will depend on the medication and its corresponding tier. Please
note if you are enrolled in the HSA Plan, you will irst need to satisfy
your deductible before a copay can be applied. However, the deductible is
waived if you are taking an approved maintenance medication.
Mail Order Program—“3 months for 2” Copays
Prescription plan participants can use the mail order program to obtain
valuable savings when ordering up to 90-day supplies of maintenance
medications. Under this program, you pay an amount equal to two times
the retail copay for a 90-day supply of your prescription. Not all drugs
will qualify for the mail order drug program.
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 $30 copay $30 copay
Non-preferred brand $50 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 difference 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
Pharmacy
Prescription beneits are included within the medical plan options
available to Fontbonne University faculty and staff. When you obtain your
medications at a pharmacy, you will be responsible for satisfying a copay
which will depend on the medication and its corresponding tier. Please
note if you are enrolled in the HSA Plan, you will irst need to satisfy
your deductible before a copay can be applied. However, the deductible is
waived if you are taking an approved maintenance medication.
Mail Order Program—“3 months for 2” Copays
Prescription plan participants can use the mail order program to obtain
valuable savings when ordering up to 90-day supplies of maintenance
medications. Under this program, you pay an amount equal to two times
the retail copay for a 90-day supply of your prescription. Not all drugs
will qualify for the mail order drug program.
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 $30 copay $30 copay
Non-preferred brand $50 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 difference 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.
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