Page 12 - SunWest EE Guide 09-19 CA

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!

Anthem Blue
Cross Anthem Blue
HMO Cross Anthem Blue Anthem Blue
Priority Full Cross Cross
Plan Name Select Network HMO HSA PPO PPO

Deductible $0 $0 See Health Ded $0
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Retail Pharmacy
Tier 1a/1b $5/$10 $5/$10 $5/$15 $5/$10
Tier 2 $25 $25 $40 $25
Tier 3 $40 $40 $60 $40
Supply Limit 30 Days 30 Days 30 Days 30 Days

Mail Order Pharmacy
50
50
Tier 1 $10/$20 $10/$20 $12 /37 $10/$20
Tier 2 $50 $50 $120 $50
Tier 3 $80 $80 $180 $80
Supply Limit 90 Days 90 Days 90 Days 90 Days
Specialty (Retail & Mail Order)
Tier 4 30% Max $200 30% Max $200 30% Max $250 30% Max $200
Supply Limit 30 Days 30 Days 30 Days 30 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.

12 Employee Benefits