PRESCRIPTION PLAN

AWP Safety partners with UnitedHealthcare to offer prescription drug insurance.

Prescription Plan Details

PP0 $1,000 HDHP $3,000 HDHP $6,000
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 20% coinsurance after deductible 40% coinsurance after deductible
Preferred Brand Formulary $35 copay per prescription drug 50% coinsurance $35 copay 40% coinsurance after deductible 20% coinsurance after deductible 40% coinsurance after deductible
Non-Preferred Brand Formulary $70 copay per prescription drug 50% coinsurance $60 copay 40% coinsurance after deductible 20% coinsurance after deductible 40% coinsurance after deductible
Mail Order
Generic $25 copay per prescription drug Not covered $25 copay Not covered 20% coinsurance after deductible Not covered
Preferred Brand Formulary $85 copay per prescription drug Not covered $85 copay Not covered 20% coinsurance after deductible Not covered
Non-Preferred Brand Formulary $175 copay per prescription drug Not covered $150 copay Not covered 20% coinsurance after deductible Not covered