Results for Prescription Drugs
Prescription Drugs with the HSA Option
With the HSA option, most prescription drugs are covered like any other medical expense. Your prescription drug costs are a part of your medical deductible. There’s no difference in the cost for different tiers of prescription drugs; you pay the same coinsurance for generics, preferred brand name and non-preferred brand name drugs. Once you meet your deductible, you and Rockwell Automation begin to share your prescription drug costs.
Get your flu shot for free!
Use your prescription drug coverage through CVS Caremark to get your flu shot for free at an in-network pharmacy of your choice. Find a list of qualifying pharmacies at caremark.com.
| HSA In-Network | HSA Out-of-Network | |
|---|---|---|
| Deductible | Part of your medical deductible You You + family | Part of your medical deductible You You + family |
| The Plan Pays: Preventive Drugs | 80% (before deductible) | 80% (before deductible) |
| The Plan Pays: Non-Preventive Drugs | 80% (after deductible) | 60% (after deductible) |
| Out-of-Pocket Maximum | Part of your medical out-of-pocket maximum You + family | Part of your medical out-of-pocket maximum You + family |
Reasonable and Customary Charges: The plan pays up to reasonable and customary (R&C) charges for out of network care. You are responsible for any cost difference if your expenses are more than the R&C limits.
Find Preventive Prescription Drugs
For a list of eligible preventive prescription drugs, like medication to treat high cholesterol or high blood pressure, visit CVS Caremark.
Brand Penalty
A brand penalty is what you pay if you choose to fill your prescription with the brand name drug instead of the available direct generic version. The penalty amount is the difference between what the brand name drug costs and what the generic drug costs.
If you are prescribed a drug that does not have a generic version and is not on the indirect generic list, you will not be charged the brand penalty for filling that brand name drug.
Brand Penalty Does Not Count Toward Deductible or Out-of-Pocket Maximum
The brand penalty, or cost you pay for filling the brand name drug versus the generic drug, does not count toward your deductible or out-of-pocket maximum.
Compound Drugs
Compound drug prescriptions that cost more than $300 require prior authorization.
Save Money with Generics
Generic drugs may look a little different than the brand name prescriptions, but they are just as effective, and they consist of identical ingredients in the same formulation. Plus, every ingredient that goes into a generic drug must be approved by the FDA.
If your pharmacy fills a brand name medication for any reason and a generic is available, you will pay the difference between the brand name and the generic, plus the brand coinsurance.
Save money and go generic the next time you’re at the pharmacy.
