Benefit Summary
Prescriptions are available for those with GPA’s Medical insurance. We use the National Preferred Formulary of our Pharmacy Benefit Manager, Express Scripts.
| Prescription Benefits | In-Network Provider | Out-of-Network Provider |
| Rx Copays | Up to 30 Days’ Supply | 31-90 Days’ Supply |
| Generic | $10 | $20 |
| Preferred | $50 | $100 |
| Non-Preferred | $75 | $150 |
| Speciality Drugs | 25% coinsurance, max $250 each | Based on 30 days’ supply |
| Rx Out-of-Pocket | ||
| Individual (Max) | $3,500 | |
| Family (Max) | $6,000 | |