Anchor Choice with HSA Plan. On the Anchor Choice Plan with HSA, members shall pay the full retail rate for most prescriptions prior to meeting the deductible. However, if the medication is listed on the pharmacy benefit manager’s preventive therapy drug list, the applicable copay amount shall apply instead of the full retail rate. For all covered drugs, after the deductible is met, the applicable copay amount shall apply until the applicable OOPM is met. The drug copay after deductible for a 31-day supply shall be as follows: Tier 1 Tier 2 Tier 3 Tier 4 $10.00 $35.00 $60.00 $100.00 The drug copay after deductible by mail order shall be as follows: Tier 1 Tier 2 Tier 3 $20.00 $70.00 $120.00 Mail order network pharmacies: 3-month supply of a prescription drug for two (2) copayments. Maximum fill is a 3-month supply. The State will provide a vision/optical care program for the employee. Dental and Vision Programs:
Appears in 3 contracts
Samples: Collective Bargaining Agreement, Collective Bargaining Agreement, Collective Bargaining Agreement
