Page 13 - Veritone EE Guide 07-19_FINAL.pub

The best use generic or over the counter Option 5 Anthem Blue Cross HSA PPO Health Deductible Applies 40% Max $250/Rx 30 Days Not Covered Not Covered Not Covered N/A

PRESCRIPTION DRUG COVERAGE

Pharmacy Tips Use generic and over the counter drugs when available. is to medications as opposed to brand name drugs. Generic drugs must use the same active ingredients as the brand name version of the drug. A generic drug must also meet the same quality and safety standards. Use the mail order benefit for maintenance medications To save money and time, consider using the mail order pharmacy to fill $0 20% Max $100 50% 20%

way to save on prescriptions your maintenance medications. Option 4 Anthem Blue Cross PPO $1,500 $0 $10 Copay $35 Copay $70 Copay 30 Days $20 Copay $70 Copay $140 Copay 90 Days

Veritone’s medical plans include prescription drug coverage for you and your covered dependents.

$0 50% Max $250/Rx 30 Days Not Covered Not Covered Not Covered N/A
Option 3 Anthem Blue Cross PPO $500

need to take regularly). You can order additional supplies of medication at a
pharmacy. The mail order pharmacy is a fast, easy and convenient way to
Use a retail pharmacy to fill prescriptions for acute conditions (conditions
You could pay less for the same medication when you use the mail order
save time and money on your maintenance medications (drugs that you
that do not require the medication to be taken on a regular basis). At a
participating pharmacy, you will receive up to a 30 day supply of your
$0 $10 Copay $25 Copay $50 Copay 30 Days $20 Copay $50 Copay $100 Copay 90 Days
Mail Order Pharmacy – Maintenance Medication

Option 2 Anthem Blue Cross HMO $0 $10 Copay $25 Copay $50 Copay 30 Days $20 Copay $50 Copay $100 Copay 90 Days

1 Option 1 Kaiser Permanente HMO $0 $10 Copay $35 Copay N/A 30 Days $20 Copay $70 Copay N/A 100 Days

Retail Pharmacy prescriptions. discount. See below for details! Plan Name Deductible Retail Pharmacy Tier 1 Tier 2 Tier 3 Supply Limit Mail Order Copay Tier 1 Tier 2 Tier 3 Supply Limit 13 EMPLOYEE BENEFITS