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Prescription Drug Coverage Highlights.

 

  • Six plans available with copay levels to meet most budgets.
  • For all non-High Deductible Health Plans (HDHPs), coverage is offered as a four tier prescription drug plan:
    • Generic (Tier1)
    • Brand Formulary (Tier 2)
    • Brand Non Formulary (Tier 3)
    • Specialty Drugs (Tier 4)
  • For HDHPs, prescription coverage is embedded and applicable cost-sharing applies.
  • More than 69,000 chain and independent pharmacies across the U.S. are in network, and no major chains are excluded.
  • A mail-order / home delivery program is available for maintenance drugs at a steep discount.
  • USHL professionals address member and pharmacist questions, and Magellan Rx Management representatives are available to assist with questions such as the tier level of a specified drug.
  • Members have access to an online prescription benefit manager for drug lookups, prior-authorization guidelines, and a tool to find the nearest pharmacy offering a specified drug at the lowest cost.

This information summary is provided for marketing purposes only and does not represent a guarantee of coverage. For a complete list of policy provisions and exclusions, please refer to the USHL Medical Policy or Prescription Drug Rider.