the AGENT connection - Products & Services

HC2 Prescription Drug Information
(for groups effective or renewing January 2013 and beyond)

All plans are MAC A which means a generic substitute is required when available. If member purchases a brand drug when a generic is available, the member pays the co-pay plus the difference in cost between the brand and generic. Co-pays and drug formularies may vary for each carrier.

 

For POS and HMO plans

  • ConnectiCare:
    • First tier: $10
    • Second tier: $30
    • Third tier: $40
    • Fourth tier: 20% to $250 cost share per script
  • Oxford:
    • First tier: $10
    • Second tier: $30
    • Third tier: 20% to $250 cost share per script
  • Mail order for all carriers -- 2x retail cost-share for a 90 day supply

 

For HSA plans

After integrated med/rx deductible is met:

  • ConnectiCare:
    • First tier: $10
    • Second tier: $30
    • Third-tier: $40
    • Fourth tier: 20% to $250 cost share per script
  • Oxford:
    • First tier: $10
    • Second tier: $30
    • Third-tier: 20% to $250 cost share per script
  • Mail order for all carriers -- After integrated medical/rx plan deductible is met: 2x retail cost-share for a 90 day supply

Prescription drugs are not covered out of network. Members must use a participating pharmacy.


Drug Lists (Formularies)

ConnectiCare - Select 4 Tier Drug List

Oxford - Select January 2013 Advantage PDL

Mail Order Prescriptions

  • Each of the health plan companies dispense drugs according to their individual drug lists (formulary). Please refer to each health plan drug list to determine how your drug will be covered.
  • Mail order drugs are dispensed at 2x the retail prescription co-pay.

ConnectiCare

Express Scripts

1-800-403-3956

Mail Order Form

 

 

UnitedHealthcare/Oxford

Optum Health

1-800-788-4863

Mail Order Form

Welcome Brochure

 

Anthem BC/BS
(for Medicare enrollees)

Express Scripts

1-866-281-2966

Mail Order Form

FAQ

Have questions about the program? Check for answers here first.