Medicare supplement plans include optional prescription drug benefits administered by Medco. You pay a copayment each time you purchase a prescription. For each prescription, the copayment cost depends on which plan you have chosen and what kind of drug is prescribed. All plans have a retail annual deductible of $50 per individual.
Prescription drug copayments
| Drug Category* | Comprehensive Plan | Plus and Premium Plans | |||
|---|---|---|---|---|---|
| Retail | Mail-order | Retail | Mail-order | ||
| Generic copayment | $10 | $25 | $5 | $12 | |
| Formulary brand-name copayment | $30 | $70 | $25 | $60 | |
| Non-formulary brand-name and all non-sedating antihistamines | $50 | $120 | $40 | $100 | |
| Prescription smoking cessation drugs | 1 cycle of therapy per individual | ||||
| Dispensing limits per copayment | Up to a 30-day supply | Up to a 90-day supply | Up to a 30-day supply | Up to a 90-day supply | |
*Drug Categories
- Generic: medications with the same active ingredients and manufactured according to the same strict federal regulations as their brand-name counterparts.
- Formulary brand-name: generic and brand-name drugs that are preferred by your plan because they help to control rising prescription drug costs.
- Non-formulary brand-name: a drug patented by the manufacturer and sold by its brand name, but not included on your plan's formulary list.
The formulary list is updated from time to time. Download Medco formulary in Publications.
*Our online documents are available for immediate download and viewing using Adobe's FREE Acrobat Reader.