| Retail 30 day | Mail 90 day | |
| Generic Diabetic, Cholesterol and Hypertension Medications | To support our mission on wellness there is no cost share to ensure that employees are able to keep chronic conditions managed | |
| Generic | $12 copay | $24 copay |
| Preferred Brand | $25 copay | $50 copay |
| Non-Preferred Brand | $50 copay | $100 copay |
| Injectable Drugs | 33.3% maximum up to $100 | 33.3% maximum up to $200 |
Prescription Drug Coverage is administered by AultCare. There is an Annual Prescription Out-of-Pocket Maximum of $4,620 per Individual and $9,240 per Family. For more information regarding your health and prescription drug coverage, visit http://www.aultcare.com./ You can also view your prescription coverage and history by registering on http://www.expressscripts.com/.
Clinical Management Programs
Prior Authorization
Prior Authorization is a feature of your prescription benefits that helps ensure the appropriate use of selected prescription drugs. Certain prescription drugs require your doctor to get approval before they’re covered. This process helps make sure you receive the right medicine in the correct dose, which is very important if you’re taking a specialty drug.
Step Therapy
Step Therapy is an approach intended to control the costs and risks posed by certain prescription drugs. It begins by trying the safest and most cost-effective drug therapy for a medical condition and progresses to other more costly or risky drug therapies only if necessary.
3 WAYS TO SAVE ON PRESCRIPTION DRUGS
Ask your doctor or pharmacist about generic versus brand name drugs
Generic equivalent medications contain the same active ingredients and are subject to the same Federal Drug Administration (FDA) standards for quality, strength, and purity as their brand name counterparts. Choosing generic rather than brand name drugs can really save you money.
Use the mail service program for your long-term medications
You can get up to a 90-day supply for a lower mail-order payment. That means you will typically pay less over time. Also, your medications are mailed right to you, with free standard shipping.
Explore prescription savings program on the AultCare website
You can see if you have lower-cost alternatives available for medications you take regularly. Simply look up the name of your medication to find potential savings.
