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Benefits
Co-pays
| The following table describes the MSU 4-tier prescription drug co-pays: |
|
|
Source |
Retail Pharmacy |
Caremark Mail Service |
MSU Pharmacy** |
|
Days Supply |
1-34 |
35-90 |
1-34 |
35-90 |
|
Generic |
$10 |
$20 |
$10 |
$20 |
|
Brand Name on Formulary |
$20 |
$40 |
$20 |
$40 |
|
Brand Name not on the Formulary |
$40 |
$80 |
$40 |
$80 |
|
Bio-Tech Rx* |
$50 |
$100 |
$50 |
$100 | * If you have questions regarding which drugs are covered under the new bio-tech drug tier, please contact Caremark at 1-800-565-7105.
** The $2 MSU Pharmacy discount will no longer be available effective July 1, 2006.
- If you are prescribed a brand name prescription that is not on the Caremark Custom Drug List and there are no other Caremark Custom Drug List alternatives, you will only be required to pay the Brand Name Caremark Custom Drug List copay.
- Prescriptions for a 90-day supply can be filled via Caremark’s Mail Service program or at the MSU pharmacies.
- An annual employee (retiree) maximum out-of-pocket (MOOP) of $1,000 per person, $2,000 per family applies.
- Co-pays for prescription drugs are based upon the medication received, regardless of whether the drug is dispensed on a Dispense as Written (DAW) basis.
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