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Prescriptions - CVS/Caremark
Employees enrolled in the RCAB Health Plan automatically receive prescription drug coverage administered by CVS/Caremark.
The following chart shows prescription drug benefits at a glance, including co-pays, for the Enhanced and Basic Plans. For in-network prescriptions under the High Deductible Health Plan (HDHP), the deductible applies first and then 20% co-insurance. There are no prescription co-pays under the HDHP.
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BCBS
Enhanced
PPO Plan |
BCBS
Basic
PPO Plan |
Retail Co-pays |
$10 - generic
$35 - preferred
$50 - non-preferred |
$15 - generic
$40 - preferred
$60 - non-preferred |
Mail Co-pays |
2x retail |
2x retail |
Out-of-pocket Maximum |
$1,500 - individual
$3,000 - family |
$1,500 - individual
$3,000 - family |
PrudentRx Program
The PrudentRx Program helps you save money and reduce your out-of-pocket cost for covered specialty medications. If enrolled in the program, your out-of-pocket cost for specialty medications (on the PrudentRx exclusive specialty drug list) will be $0. PrudentRx works with drug manufacturers to obtain co-pay card assistance if there is a co-pay card program for the prescription. If there is no co-pay card for your prescription, the out-of-pocket cost for your specialty medication will still be $0 if you enroll in the PrudentRx program.
If a PrudentRx representative contacts you, please respond as soon as possible (1-800-578-4403) so that you can take advantage of these cost savings. Otherwise you will be deemed to have opted out of the program and will be responsible for 30% of the cost of the specialty medication.
Estimate your out-of-pocket costs for prescription medications
Check the costs before you go to the pharmacy by using the links below:
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You have a reduced copay at MinuteClinic, where you can get affordable and skilled medical care, 7 days a week, at selected CVS locations. No appointment is necessary, and most visits take about 15 minutes, compared to an average ER visit of more than four hours.
For a location near you, visit: www.minuteclinic.com
or call 866.389.ASAP(2727). |
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