Our pharmacy network includes the major chains as well as many local drug stores. A copayment is the predetermined fee you pay for covered healthcare benefits in this case, prescription drugs. Your specific copayment for each tier can be found in your Benefit Summary. Your copayment is based on the tier in which the drug is listed. The cost of drugs varies widely, even among medications that treat the same condition.
Generic drugs are the least expensive and therefore have the lowest copayment.
Brand name drugs cost on average three to four times as much as generic drugs and therefore have a higher copayment. The prescription will be filled at a participating pharmacy at the highest copayment amount. Most prescription drugs that are covered by ConnectiCare s plan are from Tier One or Tier Two. But if you re using a drug from Tier Three, ask your physician if a Tier One or Two alternative is available. Your physician will be able discuss the available alternatives with you.