PRESCRIPTION
AWP Safety partners with UnitedHealthcare to offer prescription drug insurance.
Prescription Plan Details
| PP0 $1,500 | HDHP $3,400 | Surest | ||||
|---|---|---|---|---|---|---|
| In-Network | Out-of-Network | In-Network | Out-of-Network | In-Network | Out-of-Network | |
| Prescription Drugs (Flex Base Formulary Listing) | ||||||
| Please note: For the HDHP-qualified plans, all prescription drug expenses are subject to the medical deductible. Once you meet your deductible, copays or coinsurance will apply. | ||||||
| Generic | $10 copay per prescription drug | 50% coinsurance | $10 copay | 40% coinsurance after deductible | $10 copay | Not covered |
| Preferred Brand Formulary | $35 copay per prescription drug | 50% coinsurance | $35 copay | 40% coinsurance after deductible | $90 copay | Not covered |
| Non-Preferred Brand Formulary | $70 copay per prescription drug | 50% coinsurance | $60 copay | 40% coinsurance after deductible | $200 copay | Not covered |
| Specialty | 20% up to $200 | Not covered | 20% up to $200 | Not covered | $550-$650 copay | Not covered |
| Mail Order | ||||||
| Generic | $25 copay per prescription drug | Not covered | $25 copay | Not covered | $25 copay | Not covered |
| Preferred Brand Formulary | $85 copay per prescription drug | Not covered | $85 copay | Not covered | $225 copay | Not covered |
| Non-Preferred Brand Formulary | $170 copay per prescription drug | Not covered | $150 copay | Not covered | $500 copay | Not covered |
| Specialty | 20% up to $550 | Not covered | 20% up to $500 | Not covered | N/A | Not covered |