When to use: Immediate or short-term medications up to a 30-day maximum supply.

The following copayments apply to the nationwide retail pharmacy program:

• A $7 copayment for each generic prescription.
• A $15 copayment for each brand-name prescription listed on the drug program formulary.
• A $30 copayment for each brand-name prescription not listed on the drug program formulary.

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When to use: Long-term or maintenance medications up to a 90-day maximum supply.

The following copayments apply to the home delivery pharmacy service:

• A $14 copayment for each generic prescription.
• A $30 copayment for each brand-name prescription listed on the drug program formulary.
• A $60 copayment for each brand-name prescription drug not listed on the drug program formulary.

Medco Health
(800) 251-7706

If a nonparticipating pharmacy is used or the prescription drug card is not used at a participating pharmacy, 100 percent of the retail charge must be paid when the prescription drug is purchased. A Prescription Drug Reimbursement Form must be submitted to Medco Health. Medco Health will reimburse the individual at 100 percent of the "average wholesale price" less the appropriate copayment, usually within 14-20 business days.