>Retiree/Direct Bill>Comparison Chart Retiree Health Plan>Prescription Drug Benefits Plan A and Plan B Retiree
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| Caremark Prescription Drug Benefits for Plan A and Plan B | |||
|---|---|---|---|
| Tier | Type of Prescription Medication | You Pay | Your Coinsurance Maximum |
| Tier 1 | Generic drugs | 20% coinsurance | There is a combined coinsurance maximum of $2,580 per person/year that applies to Tiers 1, 2 and 3. |
| Tier 2 | Preferred brand name drugs | 35% coinsurance | |
| Tier 3 | Special case medications (Very high-cost medications used to treat conditions that are generally life threatening) |
$75 copay per standard fill or 30-day supply | |
| Tier 4 | Non preferred brand name drugs | 60% coinsurance | n/a (unless an override has been granted by Caremark) |
| Tier 5 | Lifestyle medications (Medications used primarily to enhance lifestyle rather than treat an illness or condition) |
100% of discounted price | n/a |