Drug Maintenance –

Senior Preferred allows members to fill their medications in a supply greater than 30 days. We allow up to a 90-day supply per fill for drugs within tiers 1-4. Each 30-day supply will take one copay (a 90-day supply equals 3 copays) at a retail pharmacy.

See the mail order page for information on getting a better copayment through the mail order program.

Scroll down to view 2018 Copayment Amounts.


2019 Copayment Amounts


Elite D - 2016 Copayment Amounts

Jul 25, 2017, 15:37 PM
Copayment Plan Name : Elite D - 2016 Copayment Amounts
Exam : No
  • $360 (applies to Tiers 3, 4 and 5)

Before the total yearly drug costs (paid by both you and Senior Preferred Elite D) reach $3,310, you pay the following for prescription drugs:

  • Tier 1 - Preferred Generic Drugs
    • One-month (30 day) supply - $10 copay
    • Three-month (90 day) supply - $25.50 copay
  • Tier 2 - Generic Drugs
    • One-month (30 day) supply - $20 copay
    • Three-month (90 day) supply - $60 copay
  • Tier 3 - Preferred Brand Name Drugs
    • One-month (30 day) supply - $47 copay
    • Three-month (90 day) supply - $141 copay
  • Tier 4 - Non-Preferred Brand Name Drugs
    • One-month (30 day) supply - $100 copay
    • Three-month (90 day) supply - $300 copay
  • Tier 5 - Specialty Medications
    • One-month (30 day) supply - 25% coinsurance
    • Three-month (90 day) supply - not offered
After your total yearly drug costs (paid by both you and Senior Preferred EliteD) reach $3,310, you receive limited coverage by the plan on certain drugs. You will also receive a discount on brand name drugs and generally pay no more than 45% for the plan's costs for brand name drugs and 58% of the plan's costs for generic drugs until your yearly out-of-pocket drug costs reach $4,850.
After your yearly out-of-pocket drug costs reach $4,850 you pay the greater of 5% of the cost or $2.95 copay for generic (including brand drugs treated as generic) and $7.40 for all other drugs.

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2018 Copayment Amounts


Elite D - 2016 Copayment Amounts

Jul 25, 2017, 15:37 PM
Copayment Plan Name : Elite D - 2016 Copayment Amounts
Exam : No
  • $360 (applies to Tiers 3, 4 and 5)

Before the total yearly drug costs (paid by both you and Senior Preferred Elite D) reach $3,310, you pay the following for prescription drugs:

  • Tier 1 - Preferred Generic Drugs
    • One-month (30 day) supply - $10 copay
    • Three-month (90 day) supply - $25.50 copay
  • Tier 2 - Generic Drugs
    • One-month (30 day) supply - $20 copay
    • Three-month (90 day) supply - $60 copay
  • Tier 3 - Preferred Brand Name Drugs
    • One-month (30 day) supply - $47 copay
    • Three-month (90 day) supply - $141 copay
  • Tier 4 - Non-Preferred Brand Name Drugs
    • One-month (30 day) supply - $100 copay
    • Three-month (90 day) supply - $300 copay
  • Tier 5 - Specialty Medications
    • One-month (30 day) supply - 25% coinsurance
    • Three-month (90 day) supply - not offered
After your total yearly drug costs (paid by both you and Senior Preferred EliteD) reach $3,310, you receive limited coverage by the plan on certain drugs. You will also receive a discount on brand name drugs and generally pay no more than 45% for the plan's costs for brand name drugs and 58% of the plan's costs for generic drugs until your yearly out-of-pocket drug costs reach $4,850.
After your yearly out-of-pocket drug costs reach $4,850 you pay the greater of 5% of the cost or $2.95 copay for generic (including brand drugs treated as generic) and $7.40 for all other drugs.

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This web page was updated on October 1, 2018.