LGHP Prescription Copayments
|
FY13 and FY14 Copayments
30-Day Supply
|
HMO
|
OAP
|
Local Care
Health Plan (LCHP)
|
Local Consumer-Driven Health Plan (LCDHP)
New plan effective July 1, 2013
|
|
Generic
|
$12.00
|
$12.00
|
$12.50
|
Member pays 30% coinsurance
|
|
Preferred Brand
|
$24.00
|
$24.00
|
$25.00
|
Member pays 40% coinsurance |
|
Nonpreferred Brand
|
$48.00
|
$48.00
|
$50.00
|
Member pays 50% coinsurance |
|
Specialty
|
$96.00
|
$96.00
|
$100.00
|
N/A |