When you enroll in a medical plan option, you are automatically enrolled in prescription drug coverage through Prime Therapeutics (through Horizon BCBS). Click here for your prescription drug plan design summary.

Prescription Drug Tiers

Prescription drugs generally fall into the following “tiers” and your out-of-pocket cost will vary by each of these tiers. Whenever possible, consider filling your prescription with a generic drug rather than a brand-name drug.​

Generic Drugs

Medication that contains the same active ingredients and is available in the same strengths and dosages as its brand-name equivalent. Generic drugs cost less than brand-name drugs and save you money.​

Preferred Brand Drugs

Medication that has been identified as a good value, both clinically and financially. You pay less for preferred brand-name drugs than for non-preferred brand-name drugs.

Non-Preferred Brand Drugs

Medication that has an alternative generic or preferred brand-name drug that is clinically equivalent. Non-preferred brand-name drugs typically cost more than generic and preferred brand-name drugs.

Specialty Drugs

High-cost medications used to treat complex, chronic conditions like cancer, rheumatoid arthritis, and multiple sclerosis, and may be Preferred or Non-Preferred Specialty drugs. They often require special handling (such as refrigeration during shipping) and administration (such as injection or infusion). Specialty medications are limited to a 30-day supply at a time. All specialty medications must be filled through Accredo Specialty Pharmacy.

Click here to access the prescription drug plan formulary to see which tier your prescription is in.