PICA
REMINDER
$100.00 PICA DEDUCTIBLE BECOMES EFFECTIVE
January 1, 2006
New Annual Deductible for Injectable & Chemotherapy Medications
Effective January 1, 2006, there will be an annual deductible of $100 per person for
Injectable & Chemotherapy medications. This deductible is independent of any other
deductibles.
Additional changes that have already taken effect:
Effective July 1, 2005, the PICA Prescription Drug Program will only cover two (2)
categories of drugs: Injectables and Chemotherapy.
New Co-payments for Injectable & Chemotherapy Medications
Retail Pharmacy (up to 30-day supply)
- $10 for generic medications
- $25 for preferred brand name (formulary) medications
- $45 for non-preferred brand name (non-formulary) medications*
Mail Order Pharmacy (up to 90-day supply)
- $20 for generic medications
- $50 for preferred brand name (formulary) medications
- $90 for non-preferred brand name (non-formulary) medications*
*If you choose a non-preferred brand name medication that has a generic equivalent, you
will be charged the difference in cost between the non-preferred brand name drug and
the generic drug plus the non-preferred co-pay. |
