Blue Cross/Blue Shield benefit book - East Aurora Union Free School

Prescription Drugs for POS 204 logoPrescriptionDrugBestValueFormularyGenericDrugMore ChoiceMore CostFormularyBrand NameDrugMost ChoiceMost ExpensiveNon-FormularyGeneric & BrandName DrugLimits andRequirementsPharmacy Costs $10Mail Order Costs$0 copay for genericformulary oralcontraceptives$0 copay for genericformulary oralcontraceptives$20 $40 Up to a 30calendar daysupply of drugsis provided oneach occasionthe prescriptionis filled orrefilled.2.5 copays per90 day supplyUp to a 90calendar daysupply of drugsis provided oneach occasionthe prescriptionis filled or refilledby the mail orderpharmacy.How can I reduce my prescription costs?Your pharmacy benefit offers you the flexibility of choosing generic or brand namedrugs. You can significantly reduce your prescription drug expenses by asking yourphysician to prescribe generic drugs instead of brand name drugs, when available.Generic drugs are safe, effective medication that cost less than equivalent brandname drugs.BestValueMore ChoiceMore CostMost ChoiceMost ExpensiveIf you and your doctor agree that a generic drug on the formulary is thebest for you, you will pay your first-tier copay. Generics provide youwith the best value and lowest out-of-pocket cost.If you receive a prescription for a brand name drug on the formulary youwill pay your second-tier copay.• Lower your cost: Talk to your physician to see if a genericmedication is available for the prescribed band name drug.Non-formulary drugs require you to pay the third-tier copay, your highestout-of-pocket cost.• Lower your cost: Talk to your physician to see if a formularybrand name or generic medication is available.5.