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How does my prescription coverage work when enrolled in the High Deductible Health Plan (HDHP)?

When enrolled in the High Deductible Health Plan, you will be charged the full negotiated price for your prescriptions until your HDHP annual deductible is met, unless those medications are on the Preventative Drug List. Any money paid toward prescriptions will count towards meeting your annual deductible. The prescription co-insurance will apply only after your deductible is met (see below).

  • 10% coinsurance of the negotiated price for generic medications
  • 20% coinsurance of the negotiated price for brand-name prescriptions when a generic equivalent is not available
  • 40% coinsurance of the negotiated price for brand-name prescriptions when a generic equivalent is available

For more information about your prescription coverage, visit our .  You can contact CVS/Caremark at 1-888-202-1654 for pricing information for prescriptions under the HDHP plan.

If you or your dependents are taking prescriptions appearing on the Preventive Therapy Drug List (PDF), the cost of that drug is not subject to your deductible. However, co-insurance will apply as stated above and the co-insurance amount will be applied toward your combined medical/prescription maximum out-of-pocket deductible.

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