PARTNER | Express Scripts administered by RxBenefits, Inc. (For Collective Health members)
PHARMACY (Rx)
You will automatically be enrolled in the prescription drug plan that is coupled with the Collective Health medical plan you elected.
PHARMACY COPAYS | PPO PLAN
PRO TIP: Hover over each benefit below for more information
Retail Pharmacy Coverage
(up to 30-day supply)
- Generic | $10 Copay
- Preferred Brand | 30% Coinsurance ($25 Minimum, $50 Maximum)
- Non-Preferred | 45% Coinsurance ($40 Minimum, $80 Maximum)
Retail Pharmacy Coverage
(up to 90-day supply)
- Maintenance Generic | $10 Copay
- Maintenance Preferred Brand | $100 Copay
- Maintenance Non-Preferred Brand | $160 Copay
Mail Order Copay
(up to 90-Day Supply)
- Mail Order Generic| $10 Copay
- Mail Order Preferred Brand | $100 Copay
- Mail Order Non-Preferred Brand | $160 Copay
Specialty Medication Copays (aCcREDO)
- Specialty Generic | $125 Copay
- Specialty Preferred Brand | $125 Copay
- Specialty Non-Preferred | $125 Copay
PHARMACY COPAYS | HDHP PLAN
PRO TIP: Hover over each benefit below for more information
Retail Pharmacy Coverage
(up to 30-day supply)
- Generic | 20% Coinsurance
- Preferred Brand | 20% Coinsurance
- Non-Preferred | 20% Coinsurance
Retail Pharmacy Coverage
(up to 90-day supply)
- Maintenance Generic | 20% Coinsurance
- Maintenance Preferred Brand | 20% Coinsurance
- Maintenance Non-Preferred Brand | 20% Coinsurance
Mail Order Copay
(up to 90-Day Supply)
- Mail Order Generic | 20% Coinsurance
- Mail Order Preferred Brand | 20% Coinsurance
- Mail Order Non-Preferred | 20% Coinsurance
Specialty Medication Copays (aCcREDO)
- Specialty Generic | 20% Coinsurance
- Specialty Preferred Brand | 20% Coinsurance
- Specialty Non-Preferred Brand | 20% Coinsurance
RESOURCE LIBRARY
ACCESSING EXPRESS SCRIPTS
Manage your medicines anywhere, anytime with Express Scripts website and mobile app
GET YOUR ID CARD
GET A MAIL ORDER PRESCRIPTION
Questions?
Contact RxBenefits Member Services at
(800) 334-8134 or RxHelp@rxbenefits.com
7:00 am to 8:00 PM CST, Monday – Friday
LEARN ABOUT SPECIALTY MEDICATIONS
Need Help with Specialty Medication?
You can learn more about specialty medication from our partners at Accredo.
Visit the Specialty site on Accredo to learn more.
2025 NATIONAL PREFERRED FORMULARY LIST
Brand name drugs are listed in CAPITAL letters. Generic drugs are listed in lower-case letters.
To keep your costs low, make sure to explore all options with your doctor when being prescribed a medication. Most brand-name drugs have a generic equivalent that is equal in strength, purity and quality. Preventive medications are covered at 100% and are not subject to your deductible or coinsurance.