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  • HealthSelect Prescription Drug Program

    Costs shown below are based on using network pharmacies. Fill short-term medications, such as antibotics, at a local retail pharmacy. Your costs at non-participating pharmacies will be higher. Fill long-term medications, such as those taken for high blood pressure, through an Extended Days Supply (EDS) retail pharmacy or through the Caremark Mail Order program.

    Each participant must pay a $50 annual deductible (per plan year) before copays apply. 

    Register on the Caremark website with your prescription card. Registering allows you to take advantage of Caremark's many online services, including online prescription refills.

  • Outline of the state of Texas 
  • Retail Pharmacy Prescription Drug Costs

    Tier 1 Tier 2* Tier 3*

    $15 for up to 30-day supply
    (non-maintenance medication)

    $20 for up to 30-day supply
    (maintenance medication)

    $35 for up to 30-day supply
    (non-maintenance medication)

    $45 for up to 30-day supply
    (maintenance medication)

    $60 for up to 30-day supply
    (non-maintenance medication)

    $75 for up to 30-day supply
    (maintenance medication)

    *Cost is based on if a generic is not available. If a generic is available and you chose to buy the brand-name drug, you will pay the generic copay plus the cost difference between the brand-name and the generic drug.

     

  • All Carrier Mail Order/HealthSelect Prescription Drug Program EDS* Costs

    *These costs also apply when using the HealthSelect Prescription Drug and HealthSelect Medicare Rx Extended Days Supply (EDS) Pharmacy Network.

     

    Tier 1 Tier 2* Tier 3*

    $30 for 31-60 day supply

    $45 for 61-90 day supply

    $70 for 31-60 day supply
    (generic not available)

    $105 for 61-90 day supply
    (generic not available)

    $120 for 31-60 day supply
    (generic not available)

    $180 for 61-90 day supply
    (generic not available)

     

    *If a generic is available and you choose to buy the brand-name drug, you will pay the generic copay plus the cost difference between the brand-name and the generic drug.

    If you are enrolled in Community First Health Plan or Scott & White Health Plan, you can find more information about your mail order services and formulary drug list at the links and phone numbers provided below.