TRIP Prescription Copayments

Below are the copayments for FY2019​.  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.


Prescription Drugs​ ​
​​​​​  ​​ TCHP​​ HMO & OAP​
​​Copayments (30 day supply)​MinimumMaximum​
​​​TCHP applies 20% coinsurance to the retail cost of the drug not to exceed the maximum copayment or be less than the minimum copayment​GenericGreater of 20% or $7​Lesser of 20% or $50​​$10.00
​Preferred BrandGreater of 20% or $14​Lesser of 20% or $100​​$20.00
​Nonpreferred BrandGreater of 20% or $28​Lesser of 20% or $150​​$40.00


Updated 04/27/18