Page 9 - First Presbyterian Church Benefit Guide

Prescription Drugs

The Anthem Blue Cross medical plans include prescription drug coverage for you and your covered dependents.

Retail Pharmacy
Use a retail pharmacy to fill prescriptions for acute conditions (conditions 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 prescriptions.

Mail Order Pharmacy – Maintenance Medication
You could pay less for the same medication when you use the mail order pharmacy.
The mail order pharmacy is a fast, easy and convenient way to save time and money on your
maintenance medications (drugs that you need to take regularly). You can order additional
supplies of medication at a discount. See below for details!

Plan Name Anthem Blue Cross Anthem Blue Cross
PS-Classic HMO V-Classic HMO
Network Name Priority Select HMO Vivity HMO
Pharmacy Deductible None None
Retail Pharmacy
- Tier 1a / 1b $5 / $15 Copay $5 / $15 Copay
- Tier 2 $30 Copay $30 Copay
- Tier 3 $50 Copay $50 Copay
- Tier 4 30% Max $250 Copay 30% Max $250 Copay
- Supply Limit 30 Days 30 Days

Mail Order Pharmacy
50
50
50
50
- Tier 1a / 1b $12 / $37 Copay $12 / $37 Copay
- Tier 2 $90 Copay $90 Copay
- Tier 3 $150 Copay $150 Copay
- Tier 4 30% Max $250 Copay 30% Max $250 Copay
- Supply Limit 90 Days 90 Days

Pharmacy Tips

Use generic and over the counter drugs when available.
The best way to save on prescriptions is to use generic or over the counter 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 your maintenance
medications.

Employee Benefits 9