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)
  ACA Prev 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)
  ACA Prev 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) CDHP Preventive Drug list (separate from the Affordable Care Act – ACA – preventive drug list) is covered at the applicable coinsurance level. This drug list does not apply to the $400 or $900 Deductible plans.

For more information, including your per-paycheck contributions and out-of-network coverage details, visit the Pearson Benefits Marketplace website.

Vaccines

Flu shots are covered through participating pharmacies at no cost. In addition, the following non-seasonal vaccines are covered through participating pharmacies at no cost:

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

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