Prescription Drugs & Vaccinations

Prescription Drugs & Vaccinations

National Plan Prescriptions

$400 Deductible Plan $900 Deductible Plan $1,850 Deductible Plan** $2,850 Deductible Plan
Prescriptions (administered by CVS Caremark)(1)
Retail – 30-day supply (you pay)
  Affordable Care Act Preventive Drugs – Plan pays 100%
Generic $10 $10 20% after
deductible
30% after
deductible
Preferred Brand $30 You pay 30% (min. $25, max. $50)
Non-Preferred Brand $60 You pay 45% (min. $40, max. $80)
Mail order – 90-day supply (you pay)
  Affordable Care Act Preventive Drugs – Plan pays 100%
Generic $25 $25 20% after
deductible
30% after
deductible
Preferred Brand $75 You pay 30%
(min. $62.50, max. $125)
 

Non-Preferred Brand

$150 You pay 45%
min. $100, max. $200)

 

**True Family Deductible: Under the $1,850 Deductible Plan and $2,850 Deductible Plan, the plan begins to pay benefits for any person covered under a family plan only after the entire family deductible has been met.

(1) The CDHP Preventive Drug List (separate from the Affordable Care Act preventive drug list) is covered at the applicable coinsurance level – meaning the deductible does not have to be met before the plan begins to pay its applicable portion. This drug list applies to the $1,850 and $2,850 deductible plans only.

For more information on prescription drugs and preventive care, visit this link.

For more information, including your per-paycheck contributions please visit the Pearson Benefits Marketplace website.

Vaccines

Flu shots and the following non-seasonal vaccines are covered through participating Caremark pharmacies at no cost:

  • Shingles
  • Pneumonia
  • Preventive care vaccines for children and adults (such as Measles, Tetanus, Diphtheria)