Prescription Drug Programs
Prescription Drug Programs
You are automatically enrolled in a comprehensive prescription drug program when you enroll in a GBP health plan. Every GBP health plan, except Consumer Directed HealthSelectSM, has a $50 annual prescription drug deductible that must be paid before the plan pays anything for prescriptions. Consumer Directed HealthSelect has an overall deductible that includes both medical care and prescription drugs. The deductibles are based on a calendar year, which is from January 1 to December 31.
The following copayments apply to all prescription drug programs, after the deductible is met.
Short-term prescriptions
| |
Tier 1
|
Tier 2*
|
Tier 3*
|
| Non-maintenance medication |
$10
1-30 day supply |
$35
1-30 day supply |
$60
1-30 day supply |
| Maintenance medication |
$10
1-30 day supply |
$45
1-30 day supply |
$75
1-30 day supply |
Long-term prescriptions
Fill long-term medications, (also known as maintenance medications), through the pharmacy network(s) for your plan:
|
Tier 1
|
Tier 2*
|
Tier 3*
|
|
$20
31-60 day supply
$30
61-90 day supply
|
$70
31-60 day supply
$105
61-90 day supply
|
$120
31-60 day supply
$180
61-90 day supply
|
*If a generic is available and you choose to buy the brand-name drug, you will pay the generic copay plus the cost difference between the brand-name and the generic drug.
For more information
Visit your plan's website below for more details about your prescription drug coverage.
- HealthSelect of Texas (non-Medicare)
- Consumer Directed HealthSelect
- HealthSelect Out-of-State
- HealthSelect Medicare Advantage
- HealthSelect Secondary
- KelseyCare Advantage
Health maintenance organizations (HMOs):