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Prescription Drugs








        The Anthem 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!
                                                                               Anthem
                                                         Anthem                Standard              Anthem
         Plan Name                                      Basic PPO         Network Only EPO         Premier PPO

         Deductible                                         $0                    $0                     $0
         Retail Pharmacy
         Tier 1 (typically Generic)                        $10                    $10                   $10
         Tier 2 (typically Preferred Brand)                $25                    $25                   $30
         Tier 3 (typically Non-Preferred Brand and Specialty)   Not Covered   Not Covered               $50
         Supply Limit                                     30 Days               30 Days               30 Days

         Mail Order Pharmacy
         Tier 1 (typically Generic)                        $20                    $20                   $20
         Tier 2 (typically Preferred Brand)                $50                    $50                   $60
         Tier 3 (typically Non-Preferred Brand and Specialty)   Not Covered   Not Covered              $100
         Supply Limit                                  Up to 90 Days         Up to 90 Days         Up to 90 Days

         Specialty - Retail & Mail Order
         Tier 4 (typically Preferred Specialty)          30% Max               30% Max                30% Max
                                                        $500 Copay            $500 Copay            $500 Copay
         Supply Limit                                     30 Days               30 Days               30 Days

         IMPORTANT: Prescription drugs are not covered when obtained through a non-network pharmacy.


           Anthem Formulary Drug Search:
           https://client.formularynavigator.com/Search.aspx?siteCode=2060134094



                                                             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
                           Save money and time by using the mail order pharmacy to fill your maintenance medications.




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