Understanding your prescription drug benefit, and knowing how different types of medications will be covered, can help you save money and learn how to talk with your doctor about your options.

Your prescription drug benefit gives you options for paying more or less for your prescription. When you fill a prescription from your doctor, you and the company share the cost. How you share costs depends on how your plan is set up.

  • Retail Tier Name

    The deductible is integrated with all medical services and must be met prior to the copayments being applied. Once you have satisfied your plan year deductible, you will pay a $10 copay for generic drugs, a $35 copay for preferred brand drugs and a $70 copay for non-formulary brand name drugs.

    (Up to 31-day supply)
    In-network Only
    Tier 1: $10 copay (after deductible)
    Tier 2: $35 copay (after deductible)
    Tier 3: $70 copay (after deductible)

  • Mail Order Tier Name

    The deductible is integrated with all medical services and must be met prior to the copayments being applied. Once you have satisfied your plan year deductible, you will pay a $10 copay for generic drugs, a $35 copay for preferred brand drugs and a $70 copay for non-formulary brand name drugs.

    (Up to 90-day supply)
    In-network Only
    Tier 1: $25 copay (after deductible)
    Tier 2: $70 copay (after deductible)
    Tier 3: $140 copay (after deductible)

US-Rx Care HDHP Base Plan

Provider: Quantum Health

Phone: 866-871-0630

Website: https://quantum-health.com/

Prescription

Provider: US-Rxcare

Website: https://usrxcare.com

Quantum Care Coordinator Support
Phone: 866-871-0630
Website: Wedgewood.Quantum-Health.com

Hours of Operation:
M – FR 8:30AM – 10PM EST

  • Retail Tier Name

    (Up to 31-day supply)
    In-network Only
    Generic: $15 copay
    Brand name: $35 copay
    Non-formulary: $70 copay

  • Mail Order Tier Name

    (Up to 90-day supply)
    In-network Only
    Generic: $30 copay
    Brand name: $70 copay
    Non-formulary: $140 copay

US-Rx Care HRA High Plan

Provider: Quantum Health

Phone: 866-871-0630

Website: https://quantum-health.com/

Prescription

Provider: US-Rxcare

Website: https://usrxcare.com

Quantum Care Coordinator Support
Phone: 866-871-0630
Website: Wedgewood.Quantum-Health.com

Hours of Operation:
M – FR 8:30AM – 10PM EST

  • Retail Tier Name

    (Up to 31-day supply)
    In-network Only
    Generic: $10 copay
    Brand name: $40 copay
    Non-formulary: $75 copay

  • Mail Order Tier Name

    (Up to 90-day supply)
    In-network Only
    Generic: $20 copay
    Brand name: $80 copay
    Non-formulary: $150 copay

US-Rx Care HRA Low Plan

Provider: Quantum Health

Phone: 866-871-0630

Website: https://quantum-health.com/

Prescription

Provider: US-Rxcare

Website: https://usrxcare.com

Quantum Care Coordinator Support
Phone: 866-871-0630
Website: Wedgewood.Quantum-Health.com

Hours of Operation:
M – FR 8:30AM – 10PM EST

  • Retail Tier Name

    (Up to 31-day supply)
    In-network Only
    Generic: $15 copay
    Brand name: $35 copay
    Non-formulary: $70 copay

  • Mail Order Tier Name

    (Up to 90-day supply)
    In-network Only
    Generic: $30 copay
    Brand name: $70 copay
    Non-formulary: $140 copay

US-Rx Care Buy Up Plan

Provider: Quantum Health

Phone: 866-871-0630

Website: https://quantum-health.com/

Prescription

Provider: US-Rxcare

Website: https://usrxcare.com

Quantum Care Coordinator Support
Phone: 866-871-0630
Website: Wedgewood.Quantum-Health.com

Hours of Operation:
M – FR 8:30AM – 10PM EST

  • Retail Tier Name

    The deductible is integrated with all medical services and must be met prior to the copayments being applied. Once you have satisfied your plan year deductible, you will pay a $10 copay for generic drugs, a $35 copay for preferred brand drugs and a $70 copay for non-formulary brand name drugs.

    (Up to 31-day supply)
    In-network Only
    Tier 1: $15 copay (after deductible)
    Tier 2: $35 copay (after deductible)
    Tier 3: $35 copay (after deductible)

  • Mail Order Tier Name

    The deductible is integrated with all medical services and must be met prior to the copayments being applied. Once you have satisfied your plan year deductible, you will pay a $10 copay for generic drugs, a $35 copay for preferred brand drugs and a $70 copay for non-formulary brand name drugs.

    Mail Order (Up to 90-day supply)
    In-network Only
    Tier 1: $30 copay (after deductible)
    Tier 2: $70 copay (after deductible)
    Tier 3: $70 copay (after deductible)

Kaiser HDHP Base Plan

Provider: Kaiser

Phone: 800-464-4000

Website: https://healthy.kaiserpermanente.org/washington/front-door

  • Retail Tier Name

    (Up to 31-day supply)
    In-network Only
    Generic: $10 copay
    Preferred brand drugs: $30 copay
    Non-Preferred brand drugs: $30 copay
    Specialty drugs: 20% coinsurance up to $250 / prescription

  • Mail Order Tier Name

    (Up to 90-day supply)
    In-network Only
    Generic: $20 copay
    Preferred brand drugs: $60 copay
    Non-Preferred brand drugs: $60 copay
    Specialty drugs: 20% coinsurance up to $250 / prescription

Kaiser HMO High Option

Provider: Kaiser

Phone: 800-464-4000

Website: https://healthy.kaiserpermanente.org/washington/front-door

  • Retail Tier Name

    (Up to 31-day supply)
    In-network Only
    Generic: $10 copay
    Preferred brand drugs: $30 copay
    Non-Preferred brand drugs: $30 copay
    Specialty drugs: 20% coinsurance up to $250 / prescription

  • Mail Order Tier Name

    Mail Order (Up to 90-day supply)
    In-network Only
    Generic: $20 copay
    Preferred brand drugs: $60 copay
    Non-Preferred brand drugs: $60 copay
    Specialty drugs: 20% coinsurance up to $250 / prescription

Kaiser HMO Low Option

Provider: Kaiser

Phone: 800-464-4000

Website: https://healthy.kaiserpermanente.org/washington/front-door