Prescriptions

Hourly Plans Co-Pay rates: (In-Network)

For the BCBS PPO Plan the prescription co-pays are as follows:
All  Drugs - $7
Mail Order Prescription Drugs (up-to 90 day supply)
All Drugs - $7

For the BCBS Community Blue Plan the prescription co-pays are as follows:
Generic Drugs - $10
Brand Name Drugs - $40
Mail Order Prescription Drugs (up-to 90 day supply)
Generic Drugs - $10
Brand Name Drugs - $40

Salaried Plans Co-Pay rates:  (In-Network)

For the BCBS Community Blue Plan the prescription co-pays are as follows:
Generic Drugs - $10
Preferred Brand Name Drugs - $20
Non-Preferred Brand Name Drugs - $40
Mail Order Prescription Drugs (up-to 90 day supply)
Generic Drugs - $10
Preferred Brand Name Drugs - $20
Non-Preferred Brand Name Drugs - $40

For the BCBS Community Blue High Deductible Plan the prescription co-pays are as follows:
Generic Drugs - $10
Brand Name Drugs - $40
Mail Order Prescription Drugs (up-to 90 day supply)
Generic Drugs - $10
Brand Name Drugs - $40

Enrollment and additional information for Mail Order Prescriptions contact:

www.medcohealth.com or 1-800-903-8346