Drug pricing

Pharmacy benefits are administered through the Arkansas Blue Cross and Blue Shield Pharmacy Program, which eliminates paper claim forms and employs the latest technology for electronic pharmacy claims processing. When you fill your prescription at a participation pharmacy, the Pharmacy Program computer network instantly alerts the pharmacist to the following:

• Any potential harmful interaction of the medication about to be dispensed with any other medication that the patient may already be taking;
• Whether this medication may duplicate another medication the patient is taking;
• Whether the prescribed dosage or strength is appropriate for the age of the patient.

These features help you save money and promote good health and safety.

Options

Select the benefit option to view prescription drug pricing:

Standard with Step Therapy Formulary

• $500 deductible with 20% coinsurance after deductible is met
• $10/$30/$50 copay
• 0% Coinsurance after $5000 Deductible

Metallic Drug List - 2020

Gold Plan HSA 1: 0% Coinsurance after $3,200 Deductible

Silver Plan 1: $0*/$25*/$80/$150/40%/50% after Deductible

Silver Plan AW1: $0*/$25*/$60/$150/$300/$350 after Deductible

Silver Plan 2: $0*/$30*/$80/$160/$350/$400 after Deductible

Silver Plan HSA 1: $0*/$20/$40/20%/20% after Deductible

Bronze Plan 1: $0*/$30*/50%/50%/50%/50% after Deductible

Bronze Plan HSA 1: $0*/$35*/0%/0%/0%/0% after Deductible

*tier is not subject to Deductible

Metallic Drug List - 2019

• Gold Plan HSA M1: Tiers 1 - 6/$0 copay and $0% Coinsurance after Deductible
• Silver Plan 1: Tier 1- $0, Tier 2 - $25 after Deductible, Tier 3 - $75 after Deductible, Tier 4 - $150 after Deductible, Tier 5 - 40% coinsurance after Deductible , Tier 6 - 50% coinsurance after Deductible
• Silver Plan AWM1: Tier 1- $0, Tier 2 - $20 after Deductible, Tier 3 - $60 after Deductible, Tier 4 - $150 after Deductible, Tier 5 -$300 after Deductible , Tier 6 - $350 after Deductible
• Silver Plan AW1: Tier 1- $0, Tier 2 - $25 after Deductible, Tier 3 - $55 after Deductible, Tier 4 - $110 after Deductible, Tier 5 -$220 after Deductible , Tier 6 - $260 after Deductible
• Silver Plan 2: Tier 1- $0, Tier 2 - $30 after Deductible, Tier 3 - $80 after Deductible, Tier 4 - $160 after Deductible, Tier 5 -$350 after Deductible , Tier 6 - $400 after Deductible
• Silver Plan 4: Tier 1- $0, Tier 2 - $25 after Deductible, Tier 3 - $50 after Deductible, Tier 4 - $125 after Deductible, Tier 5 -40% Cosinsurance after Deductible , Tier 6 - 50% Coinsurance after Deductible
• Silver Plan HSA1: Tier 1- $0, Tier 2 - $20 after Deductible, Tier 3 - $40 after Deductible, Tier 4 - $80 after Deductible, Tier 5 -30% Cosinsurance after Deductible , Tier 6 - 40% Coinsurance after Deductible
• Bronze Plan 1: Tier 1- $0, Tier 2 - $25 after Deductible, Tiers 3,4,5 & 6 - 50% Cosinsurance after Deductible
• Bronze Plan HSA1: Tier 1- $0, Tier 2 - $30 after Deductible, Tier 3 - $60 after Deductible, Tier 4 - $120 after Deductible, Tier 5 -$225 after Deductible , Tier 6 - $240 after Deductible