Prescription drugs

Medicine goes down a lot easier when it doesn’t cost you an arm and a leg. How much you’ll pay for a prescription depends on the type of medication and where you go to fill it. All plans offer convenient home delivery for certain medications—one less thing you need to think about.

Ways to save

You have options when it comes to filling prescription drugs, and the choices you make can help you save money. Here are some cost-saving tips to keep in mind:

  • Choose lower-cost generic medications over brand-name drugs and use the drug-costing tools on your insurance carrier’s website.
  • Use pharmacies in your plan network.
  • Take advantage of the mail-order service for maintenance medications.

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What you pay: UHC

You can get a 30-day supply of medication from retail pharmacies and a 90-day supply through mail order and some retail pharmacies. You’ll pay more if you use an out-of-network pharmacy.

  In-Network Retail Pharmacy
(Up to 31-Day Supply)
Mail-Order Service
(Up to 90-Day Supply)
UHC Choice Plus High Deductible 20% after deductible 20% after deductible
UHC Choice Plus 10% ($10 minimum/$50 maximum) 10% ($20 minimum/$100 maximum)
UHC Choice 10% ($10 minimum/$50 maximum) 10% ($20 minimum/$100 maximum)

Check your prescriptions

UHC’s drug look-up tool shows coverage, exclusions, authorization requirements, and more. You'll see a coverage tier for each drug, but here’s what you need to know, no matter the drug tier: You’ll pay 20% after your deductible under the UHC Choice Plus High Deductible plan and 10% coinsurance under the UHC Choice Plus and UHC Choice plans (minimums and maximums apply, refer to the chart above).

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What you pay: Kaiser

You can get a 30-day supply of medication from Kaiser pharmacies. If you're on a maintenance medication, such as high blood pressure medication, consider the mail-order option, which provides a larger quantity for just 2 times the retail copay amount. Out-of-network prescriptions are only covered in case of an emergency.

Kaiser California

  Kaiser Pharmacy
(Up to 30-Day Supply)
Kaiser Mail-Order Service
(Up to 100-Day Supply)
Generic $10 copay $20 copay
Brand $20 copay $40 copay
Specialty Varies by drug Varies by drug

Kaiser Oregon

  Kaiser Pharmacy
(Up to 30-Day Supply)
Kaiser Mail-Order Service
(Up to 90-Day Supply)
Generic $10 copay $20 copay
Brand Formulary $20 copay $40 copay
Brand Nonformulary $40 copay $80 copay
Specialty $150 copay Not available

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