Below are the copayments for FY2013 and FY2014. Please note that for benefit recipients enrolled in the Teachers' Choice Health Plan (TCHP), the plan applies 20% coinsurance to the retail cost of the drug, not to exceed the maximum copayment or be less than the minimum copayment.
| FY2013 & FY2014 Copayments |
TCHP
|
HMO & OAP
|
Formulary Category
(30-day supply) |
Minimum
Greater of 20%
OR
|
Maximum
Lesser of 20%
OR
|
|
| Generic |
$7.00
|
$50.00
|
$10.00
|
| Preferred Brand |
$14.00
|
$100.00
|
$20.00
|
| NonPreferred Brand |
$28.00
|
$150.00
|
$40.00
|