Three Things To Know When Choosing a Prescription Medication Benefit:

1. We have three basic kinds of prescription medication benefits:
   • Three-tier coinsurance (flat copay or percentage of cost)
   • Three-tier copay (flat copay)
   • Closed formulary (no non-formulary medications)
   
   
   
2. Under each of these benefits, there are three categories of medications:
   • Generic formulary
   • Brand-name formulary
   • Non-formulary
   
   
   
3. All the benefits use a Preferred Medication List/Formulary (PML), which is a list of covered medications. An outside committee of local physicians and pharmacists creates and maintains the formulary (meaning, Regence BlueShield has no say over what drugs are on the formulary). The committee chooses drugs based on clinical studies for relative effectiveness, safety and health outcomes. View our Preferred Medication List/Formulary, located on the RegenceRx Web site.

What Your Employees Will Pay at the Pharmacy:

Your employees will have to pay some amount for each covered prescription they fill under any of these benefits. The amount they pay depends on two things:

• What benefit you choose
• Which medication they choose

Find a participating pharmacy near you.

Your Prescription Medication Options:

The table below provides an overview of the prescription medication options available to you.