The table below shows your co-payment for drugs, depending on the type of drug (generic, preferred or non-preferred) and whether you obtain the drug at a retail drug store or through the mail order pharmacy.
|In-Network Retail Provider||Mail Order|
|Generic drugs||$5 co-pay for 30-day supply||Mail order is $10 for a 90-day supply.|
|Preferred brand drugs||$35 co-pay for 30-day supply||Mail order is $70 for a 90-day supply.|
|Non-preferred brand drugs||$60 co-pay for 30-day supply||Mail order is $120 for a 90-day supply.|
|Specialty drugs||Call EmpiRx at 1-877-241-7123 for details.|
The above co-payments are in effect for all active members, retired members not on Medicare.