Page 9 - 61st Street Service Corporation | 2022 Benefits
P. 9

  How We Cover Prescriptions
The UnitedHealthcare Prescription Drug List (PDL) is the list of prescriptions that are covered by the plan.
• Organized by cost tiers
• Choosing medications in lower tiers may save you money
Tier 1
Retail $15
Mail Order $37.50
Tier 2
$35
$87.50
Tier 3
$75
$187.50
  Preventive care medications are $0 co-pay. In order to find out which medications are $0 copay, sign in
to myuhc.com, call the phone number on the back of your ID card, or click here to download the Preventive Drug List.
Click here to view and download the Prescription Drug List.
Make the Connection 9


















































































   7   8   9   10   11