Express Scripts - Prescription Plan Summary
GENERIC REIMBURSEMENT PLAN
Dauphin County Employees
Retail (30 days):
Generic $10.00
Brand Preferred $18.00
Brand Non-Preferred $36.00
Mail Order (90 days):
Generic $15.00
Brand Preferred $27.00
Brand Non-Preferred $54.00
You will pay a generic co-pay when you obtain a generic drug. If your drug is not available in generic form you will pay the applicable Preferred/Non-Preferred co-pay listed above.
When purchasing a brand preferred or brand non-preferred drug, when a generic equivalent is available, you will be charged the brand generic cost difference plus applicable co-pay.
This applies to 30-day Retail and 90-day mail order.
An Express Scripts card will be mailed to your home upon receipt of all census information.
