New Prescription Drug Copayments Effective October 1, 2011
New Prescription Drug Copayments Effective October 1, 2011
In August 2011, a change was made to the prescription drug copayments for all military health plans. This change was approved by the Assistant Secretary of Defense for Health Affairs. US Family Health plan members' prescription drug copayments will change effective October 1, 2011.
The new copayments are listed in the chart below:
|
PHARMACY |
COPAY TIER |
COST OF PRESCRIPTION |
COST OF PRESCRIPTION |
|
Generic Drugs |
Mail Order |
Free |
Free |
|
Local Pharmacy |
$5 |
$60 | |
|
Brand Name Drugs |
Mail Order |
$9 |
$36 |
|
Local Pharmacy |
$12 |
$144 | |
|
Non-Formulary Drugs |
Mail Order |
$25 |
$100 |
|
Local Pharmacy |
$25 |
$300 | |
|
*Retail is for up to a 30-day supply per fill. Mail Order is for up to a 90-day supply per fill. | |||
Prescriptions filled by mail order will have lower co-pays than those picked up at a local pharmacy. If you are not using mail order now, talk to your local PacMed pharmacy. They can help you move your prescriptions to mail order so you can save money.
Generic drugs will cost much less than brand name drugs—in fact, generics will be free by mail order. If you are not currently taking generic drugs, ask your doctor if a generic would work for you.
Here is an example of how much you could save by using generics at mail order:
- If each month you used a local pharmacy to fill 3 generic, 2 brand, and 1 non-formulary medications, you would pay $768 in copayments each year.
- If you received these same prescriptions by mail order, you would pay $172 in copayments each year. That’s a savings of nearly $600 per year.
- If your doctor changed all these medications to generic drugs, you would get them for free if you used mail order.
You may be able to save money on your medications. If you are refilling them at a local pharmacy (including PacMed pharmacies), ask about moving them to mail order. At your next doctor’s visit, ask if a generic drug could replace a brand drug you are currently taking.
About the US Family Health Plan
US Family Health Plan is a TRICARE Prime option available to families of active duty military, retirees and their eligible family members, including those age 65 and over, through networks of community-based hospitals and physicians in six areas of the country.
US Family Health Plan enrollment is offered through:
- JOHNS HOPKINS COMMUNITY PHYSICIANS | 1-888-400-4200
Serving central Maryland and parts of Pennsylvania, Virginia and West Virginia - MARTIN’S POINT HEALTH CARE | 1-888-241-4556
Serving Maine and New Hampshire - BRIGHTON MARINE HEALTH CENTER | 1-800-818-8589
Serving central and eastern MassachUSetts, including Cape Cod, and Rhode Island - SAINT VINCENT CATHOLIC MEDICAL CENTERS | 1-800-241-4848
Serving parts of New York, all of New Jersey, eastern Pennsylvania and southern - Connecticut CHRISTUS HEALTH | 1-800-678-7347
Serving southeast Texas and southwest Louisiana - PACIFIC MEDICAL CENTERS | 1-888-958-7347
Serving the Puget Sound area of Washington State
For more information, visit the US Family Health Plan Web site.
Find what you're looking for at Pacific Medical Centers (Pac Med) with clinics in Seattle (Northgate, Beacon Hill, First Hill), Federal Way, Lynnwood, Canyon Park (near Bothell and Woodinville), Renton, and Totem Lake, near Kirkland and Bellevue. Use our Physician Finder to find a doctor who will meet your needs.
Sign up for our Healthy Today newsletter or request a free wellness guide here.
| New Patient Information Line: 1-888-4PACMED (1-888-472-2633) |
|
|
|


