Express Scripts - Prescription Plan Summary
GENERIC REIMBURSEMENT PLAN
Stairways Employees
Retail (15 days):
Generic $6.00
$6.00 Brand Preferred $10.00
$10.00 Brand Non-Preferred $20.00
Mail Order (90 days):
Generic $10.00
$10.00 Brand Preferred $25.00
$25.00 Brand Non-Preferred $40.00
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 15-day Retail and 90-day mail order.
An Express Scripts card will be mailed to your home upon receipt of all census information.
