Pharmacy plans

Our pharmacy plans include a comprehensive prescription drug formulary, enabling you to configure the level of coverage and cost-sharing that works best for your business and employees.




All pharmacy plans include:


  • ACA preventive prescription medications are covered in full on ACA Preventive Prescription Medication Drug plans
  • Access to more than 34,000 participating pharmacies
  • A 90-day supply of maintenance medications for two times the 30-day copay amount when purchased at a preferred retail or mail-order pharmacy
  • No separate out-of-pocket maximum
  • Prescription cost-shares apply toward the medical plan out-of-pocket maximum
  • Covered benefits are included for generic, brand name, and specialty drugs.
  • Newly enrolled members have access to a 90-day transition period for most prescriptions that normally require prior authorization
  • Care management for members with chronic conditions, including support for medication adherence, help identifying harmful drug interactions and help identifying opportunities to reduce healthcare costs


Benefit highlights

Explore the benefit highlights for our large group employers.


2025 Large Group Employer Toolkit

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Employers

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