We encourage utilization of the university’s onsite Magers Pharmacy located on the Springfield campus in the Magers Health and Wellness Center. Those who use Magers Pharmacy will be able to take advantage of a reduced coinsurance of 20%.
Prescription Drug Plan and List of Pharmacies
Current prescription drug plan
For each prescription filled for you, or a covered dependent, your copayment is:
| Drug Type | Retail Pharmacy | Mail Pharmacy |
|---|---|---|
| Generic | 30% of the cost of the medication | 30% of the cost of the medication |
| Brand | 30% of the cost of the medication | 30% of the cost of the medication |
Note: The co-pay amounts for all prescription medications increases to 50% when the prescription is filled with a brand name drug and a generic equivalent drug is available and substitutable, as determined by the physician.
- Elixir is our Pharmacy Benefit Manager (PBM).
- The Base Plan maximum out of pocket for prescriptions is $2000 individual/$4000 family.
- The Buy-Up plan maximum out of pocket for prescriptions will be $1500 individual/$3000 family.
Both base and buy-up plans participate in the following RX programs:
Generic Incentive – Covered expenses are limited to the cost of a generic drug if an equivalent generic drug is available when a multi-source brand name drug is dispensed. In addition to the coinsurance, the covered person must pay the difference between the cost of the generic drug and the multi-source brand name drug. This is a significant increase in the incentive to use generic drugs when available and has been necessary to reduce unnecessary pharmaceutical costs to the health plan.
Other Copay Rules: Brand drugs that have a generic equivalent will be 50% coinsurance at retail pharmacies AND at Magers Pharmacy. All other drugs filled at Magers Pharmacy will have 20% coinsurance.
Step Therapy - This program requires you to try a particular drug that is cheaper before you can move to a more expensive choice. However, if you have already tried the cheaper drug without benefit, you will not have to try it again if you obtain documentation from your doctor.
Members may save an additional 10% when receiving prescriptions at Magers pharmacy. Members may also save by utilizing the mail order service as well.