Page 38 - Amerihealth New Jersey - 59-99 - 2021 Benefits at a Glance

Prescription drug plans
Choosing AmeriHealth New Jersey to manage both your medical and pharmacy benefits can provide you with a a a a a a holistic view of your employees’ health and utilization Our prescription drug programs are administered by FutureScripts® our pharmacy benefits manager The FutureScripts retail network includes more than 60 000 participating pharmacies nationwide including the area’s largest retail chains Manage your pharmacy benefits from one convenient place
FutureScripts1 provides convenient online tools available to to members through amerihealthnj com where you can easily manage prescriptions:
• Compare the price of brand-name drugs to generic equivalents • Sign up and save money with mail order services
• Review prescription records
• Find a a a a a participating pharmacy • Review your coverage and cost-sharing information • Download forms
RX OPTIONS2 3 GENERIC RX PREFERRED BRAND RX NON-PREFERRED BRAND RX $7 / / $35 / / $50
$7 $35 $50
$10 / / $40 / / $60
$10 $40 $60
$15 / / $35 / / $50
$15 $35 $50
$25 / / $50
/ / $75
$25 $50
$75
$7 / 50% up to $125
$7 50% coinsurance up to $125
max 50% coinsurance up to $125
max $25 / 50% up to $75
$25 50% coinsurance up to $75
max 50% coinsurance up to $75
max 50% up to $125
50% coinsurance up to $125
max 50% coinsurance up to $125
max 50% coinsurance up to $125
max 36
Please see footnotes on page 46