Non-preferred brand drugs — non-formulary drugs and devices — for employer and non-employer-based HMOs
Plan includes pharmacy benefit with coverage for generic, preferred brand and
non-preferred brand drugs as well as a mail order drug program.
HealthNet covers the EpiPen, but as
a non-preferred brand drug and requires a higher copay.
Not exact matches
Brand preferred and
non-preferred drugs are subject to a 30 % coinsurance after a $ 500 deductible is met.
Preferred,
non-preferred generic, and preferred
brand drug copays are $ 10, $ 25, and $ 60.
Prescription
drug copays are $ 8 (generic), $ 35 (preferred
brand), $ 60 (
non-preferred brand), and $ 120 (specialty).
When it comes to
brand drugs there's preferred
brand,
non-preferred brand, and specialty
drugs.
Non-preferred and expensive
brand - name
drugs are usually in this tier.
For example, all standardized silver plans in the federally - run exchange will have $ 3,500 deductibles, $ 30 primary care office visit copays, and $ 15 / $ 50 / $ 100 copays for generic / preferred
brand name /
non-preferred brand name
drugs (coinsurance for specialty
drugs will be 40 percent for standardized silver plans).