Common use of Prescription Drug Benefit Clause in Contracts

Prescription Drug Benefit. Bargaining unit members electing any medical plan will be eligible to participate in the current prescription program under the terms of the 80/60 PPO for 2018, the 85/60 PPO for 2019, and the 90/70 and HDHP for both 2018 and 2019. Purchases are subject to a co-insurance from the employee, but are not subject to an annual deductible. 1. Prescription drug benefits for full-time bargaining unit members electing medical benefit plans set forth in Article 45 above shall also include coverage for oral contraceptives. 2. The prescription drug benefit provided to employees electing one of the medical plans set forth in Article 45 above will include the following features: a. Medications may be received from either a retail pharmacy or a mail service pharmacy subject to the limitations below. The maximum prescription available at a retail pharmacy is a 30-day supply; the maximum prescription available from the mail service pharmacy is a 90- day supply. b. Co-insurance levels will be 10% for generic medications, 20% for brand name medications and 40% for brand name medications only when a generic equivalent is available. The maximum coinsurance for any single prescription will be $60 ($80 in the case of the 85/60 PPO), except when a brand name medication is prescribed when a generic equivalent is available. In this case, the maximum coinsurance for any single prescription will be $100, unless the physician has written the prescription dispense as written. The University may, in its discretion, implement a Generic Step Therapy strategy during the term of this Agreement. c. Benefits will be provided for maintenance medications (whether brand or generic) through a retail pharmacy for a 30-day prescription and two 30- day refills at the retail level. After the initial 90-day period, benefits will be provided for maintenance medications through the mail service pharmacy only.

Prescription Drug Benefit. Bargaining unit members electing any medical plan will be eligible to participate in the current prescription program under the terms of the 80/60 PPO for 2018, the 85/60 PPO for 2019, and the 90/70 and HDHP for both 2018 and 2019program. Purchases are subject to a co-insurance co‐insurance from the employee, but are not subject to an annual deductible. 1. Prescription drug benefits for full-time full‐time bargaining unit members electing medical benefit plans set forth in Article Section 45 above shall also include coverage for oral contraceptives. 2. The January 1, 2012 the prescription drug benefit provided to employees electing one of the medical plans set forth in Article Section 45 above will include the following features: a. Medications may be received from either a retail pharmacy or a mail service pharmacy subject to the limitations below. The maximum prescription available at a retail pharmacy is a 30-day 30‐day supply; the maximum prescription available from the mail service pharmacy is a 90- 90‐ day supply. b. Co-insurance Co‐insurance levels will be 10% for generic medications, 20% for brand name medications and 40% for brand name medications only when a generic equivalent is available. The maximum coinsurance for any single prescription will be $60 ($80 in the case of the 85/60 PPO)60, except when a brand name medication is prescribed when a generic equivalent is available. In this case, the maximum coinsurance for any single prescription will be $100, unless the physician has written the prescription dispense as written. The University may, in its discretion, implement a Generic Step Therapy strategy during the term of this Agreement. c. Benefits will be provided for maintenance medications (whether brand or generic) through a retail pharmacy for a 30-day 30‐day prescription and two 30- 30‐ day refills at the retail level. After the initial 90-day 90‐day period, benefits will be provided for maintenance medications through the mail service pharmacy only.

Prescription Drug Benefit. Bargaining unit members electing any medical plan will be eligible to participate in the current prescription program under the terms of the 80/60 PPO for 2018, the 85/60 PPO for 20192023 and 2024, and the 90/70 and HDHP for both 2018 2023 and 20192024. Purchases are subject to a co-insurance from the employee, but are not subject to an annual deductible. 1. Prescription drug benefits for full-time bargaining unit members electing medical benefit plans set forth in Article 45 above shall also include coverage for oral contraceptives. 2. The prescription drug benefit provided to employees electing one of the medical plans set forth in Article 45 above will include the following features: a. Medications may be received from either a retail pharmacy or a mail service pharmacy subject to the limitations below. The maximum prescription available at a retail pharmacy is a 30-day supply; the maximum prescription available from the mail service pharmacy is a 90- day supply. b. Co-insurance levels will be 10% for generic medications, 20% for brand name medications and 40% for brand name medications only when a generic equivalent is available. The maximum coinsurance for any single prescription will be $60 ($80 in the case of the 85/60 PPO), except when a brand name medication is prescribed when a generic equivalent is available. In this case, the maximum coinsurance for any single prescription will be $100, unless the physician has written the prescription dispense as written. The University may, in its discretion, implement a Generic Step Therapy strategy during the term of this Agreement. c. Benefits will be provided for maintenance medications (whether brand or generic) through a retail pharmacy for a 30-day prescription and two 30- day refills at the retail level. After the initial 90-day period, benefits will be provided for maintenance medications through the mail service pharmacy only.