- Check the Approved Drug List for your plan (also called a "formulary") to make sure the drug you need is listed.
- You can get up to a 31-day supply of any drug on the formulary for one copay.
- Order your prescriptions from a network pharmacy to pay the lowest copays/coinsurance.
What you will pay for prescriptions
Your plan may have a prescription deductible, which is an amount you have to pay for prescriptions before the plan starts to pay. It may also have an out-of-network prescription deductible.
After the costs you pay for prescriptions meets your prescription deductible, you will pay a copayment or coinsurance for your prescriptions (unless you are on an HSA-compatible plan). The amount of your copayment or coinsurance depends on your plan, on whether the pharmacy is in-network or out-of-network, and on the type of drug (see Drug tiers, below).
In your MyHealth account, you can see your deductible balance (if you have one) and any copayments or coinsurance you'll need to pay.