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Medical Plan

Prescription Drug Coverage

Each medical plan provides prescription drug coverage. The amount you pay depends on the plan you select.  Benefit Tip:  The Anthem Blue Cross Silver and Bronze plans both provide 100% coverage for preventive medications (most blood pressure medications, for example).

Anthem Blue Cross
Gold Plan

Anthem Blue Cross
Silver Plan
Anthem Blue Cross
Bronze Plan
Kaiser Permanente†
IN-NETWORK
You Pay
You Pay
You Pay
You Pay
Pharmacy Retail RX (up to  30-day supply)
Preventive
N/A
$0
$0
N/A
Generic
$10
$10
$10
$10
Preferred Brand
$30
20% $25 min**/$50 max.
20% $25 min**/$50 max.
$35
Non-Preferred Brand
$50
20%: $50 min.**/$100 max.
20%: $50 min.**/$100 max.
N/A
Specialty
$50
20%: $75min.**/$200 max.
20%: $75min.**/$200 max.
N/A
Mail Order RX (up to 90-day supply)
Preventive
N/A
$0
$0
N/A
Generic
$20
$20
$20
$20
Preferred Brand
$60
20%: $65  min.**/$125 max.
20%: $65  min.**/$125 max.
$70
Non-Preferred Brand
$100
20%: $125 min.**/$250 max.
20%: $125 min.**/$250 max.
N/A
Specialty (30-day supply only)
$50
20%: $75 min.**/$200 max.
20%: $75 min.**/$200 max.
N/A

*After deductible
**If the actual cost of the drug is less than the minimum, you pay the cost of the drug.
***Defaults to family deductible if you have spouse or family coverage.
†Available to employees in the following states only: California, Colorado, District of Columbia, Georgia, Maryland, Oregon, Virginia and Washington.

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Medical Plan

Prescription Drug Coverage

Each medical plan provides prescription drug coverage. The amount you pay depends on the plan you select.  Benefit Tip:  The Anthem Blue Cross Silver and Bronze plans both provide 100% coverage for preventive medications (most blood pressure medications, for example).

Anthem Blue Cross
Gold Plan

Anthem Blue Cross
Silver Plan
Anthem Blue Cross
Bronze Plan
Kaiser Permanente†
IN-NETWORK
You Pay
You Pay
You Pay
You Pay
Pharmacy Retail RX (up to  30-day supply)
Preventive
N/A
$0
$0
N/A
Generic
$10
$10
$10
$10
Preferred Brand
$30
20% $25 min**/$50 max.
20% $25 min**/$50 max.
$35
Non-Preferred Brand
$50
20%: $50 min.**/$100 max.
20%: $50 min.**/$100 max.
N/A
Specialty
$50
20%: $75min.**/$200 max.
20%: $75min.**/$200 max.
N/A
Mail Order RX (up to 90-day supply)
Preventive
N/A
$0
$0
N/A
Generic
$20
$20
$20
$20
Preferred Brand
$60
20%: $65  min.**/$125 max.
20%: $65  min.**/$125 max.
$70
Non-Preferred Brand
$100
20%: $125 min.**/$250 max.
20%: $125 min.**/$250 max.
N/A
Specialty (30-day supply only)
$50
20%: $75 min.**/$200 max.
20%: $75 min.**/$200 max.
N/A

*After deductible
**If the actual cost of the drug is less than the minimum, you pay the cost of the drug.
***Defaults to family deductible if you have spouse or family coverage.
†Available to employees in the following states only: California, Colorado, District of Columbia, Georgia, Maryland, Oregon, Virginia and Washington.

Part-time and Temporary employees are eligible for a limited subset of benefits.  Union employees: refer to your collective bargaining agreement for your benefits eligibility.