You are eligible to use this prescription drug program if you are enrolled in the Early Retiree Plan. If you are less than 65 years of age and not eligible for the Early Retirement Plan you must select the Kaiser or Providence options, unless you are not within either of their service areas.
Four prescription drug options are available in this program. You decide which option to use at the time of purchase.
You will receive a Health Benefit card which will include your prescription benefit information. When obtaining a prescription drug from a Kroger/Safeway network pharmacy, you should do the following:
- Present your Health Benefit card at the pharmacy; and
- Pay the co-payment amount and your transaction is complete.
SUMMARY OF BENEFITS |
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Copayment For Generics |
Copayment For Brand Names |
Copayment When Generic Available But Brand Name Selected |
Prescription Drug Supply Maximum |
$10 |
$30 or 20% of drug cost whichever is greater
up to a $50 maximum |
50% of cost of the brand name drug unless prescription
is written "dispense as written" |
Up to a 30 day supply |