Your co-payment and coverage schedule are described in your health plan documents. If there is a generic equivalent available and a brand name (preferred or non-preferred) drug is dispensed, you may be responsible for the respective brand co-payment plus the cost difference between the generic and brand name drug. You can confirm your drug plan type by referring to your member ID card, asking your Plan Administrator, or contacting HWMG.
The amount you pay for a covered drug will depend on your coverage tier. Each covered drug is in one of several tiers. Each drug’s tier amount may be different. Each drug tier may have a different copayment or coinsurance amount. Please refer to your health plan documents for additional information. To find out the cost of your drugs, you may contact OptumRx toll-free at 1-800-880-1188.