Common use of Prescription Drug Card Clause in Contracts

Prescription Drug Card. The State System shall provide prescription drug coverage for all of the SSHEGHP plans through a prescription drug card. The prescription drug coverage shall include: a. A three-tier open formulary with retail co-payments of $10 for generic, $30 for brand formulary, and $50 for brand non-formulary drugs for up to a thirty (30) day supply. b. Co-payments for mail order prescriptions of two (2) times the retail co-payments set forth in subsection 5.a. above for up to a ninety (90) day supply. c. If a physician prescribes a brand name drug and indicates no substitution, then the employee will not pay the difference between that drug and the generic drug. However, if the employee chooses a brand name drug when his/her physician has indicated that substitution of a generic drug is acceptable, the employee must pay the difference in cost between the brand name drug and the generic drug.

Prescription Drug Card. The State System shall provide prescription drug coverage for all of the SSHEGHP plans through a prescription drug card. The prescription drug coverage shall include: a. A three-tier open formulary with retail co-payments of $10 for generic, $30 for brand formulary, and $50 for brand non-formulary drugs for up to a thirty (30) day supply. b. Co-payments for mail order prescriptions of two (2) times the retail co-payments set forth in subsection 5.a. above for up to a ninety (90) day supply. c. If a physician prescribes a brand name drug and indicates no substitution, then the employee will not pay the difference between that drug and the generic drug. However, if the employee chooses a brand name drug when his/her physician has indicated that substitution of a generic drug is acceptable, the employee must pay the difference in cost between the brand name drug and the generic drug.

Prescription Drug Card. The State System shall provide prescription drug coverage for all of the SSHEGHP plans through a prescription drug card. The prescription drug coverage shall include: a. A three-tier open formulary with retail co-payments of $10 5 for generic, $30 18 for brand formulary, and $50 36 for brand non-formulary drugs for up to a thirty (30) day supply. b. Co-payments for mail order prescriptions of two (2) times the retail co-payments set forth in subsection 5.a. above for up to a ninety (90) day supply. c. If a physician prescribes a brand name drug and indicates no substitution, then the employee will not pay the difference between that drug and the generic drug. However, if the employee chooses a brand name drug when his/her physician has indicated that substitution of a generic drug is acceptable, the employee must pay the difference in cost between the brand name drug and the generic drug.

Prescription Drug Card. The State System shall provide prescription drug coverage for all of the SSHEGHP plans through a prescription drug card. The prescription drug coverage shall include: a. A three-tier open formulary with retail co-payments of $10 5 for generic, $30 18 for brand formulary, and $50 36 for brand non-formulary drugs for up to a thirty (30) day supply. b. Co-payments for mail order prescriptions of two (2) times the retail co-payments set forth in subsection 5.a. above for up to a ninety (90) day supply. c. If a physician prescribes a brand name drug and indicates no substitution, then the employee will not pay the difference between that drug and the generic drug. However, if the employee chooses a brand name drug when his/her physician has indicated that substitution of a generic drug is acceptable, the employee must pay the difference in cost between the brand name drug and the generic drug.