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TRIP Prescription Copayments 

 

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