- Active Health
- Retiree Health
- DB Pension
- DC Pension
- SUB Plan
Generic Drug: $0 Co-payment per Prescription for up to a 30-day supply
Brand-Name Drug: $10 Co-payment per Prescription for up to a 30-day supply Maintenance Medications as described below:
Generic Drug: $0 Co-payment per Prescription for up to a 100-day supply
Brand-Name Drug: $20 Co-payment per Prescription for up to a 100-day supply
To obtain a prescription as outlined in this section for a fixed co-payment, you must use a network pharmacy. The pharmacy network is extensive and includes most major chains and many independent pharmacies. A listing of the California network pharmacy chains is included at the end of this section. An up to date listing of nationwide pharmacies can also be found online at www.citizensrx.com or you can call Citizens Rx Customer Service toll free line, (877) 532-7912 to find a pharmacy near you.
You simply pay directly to the pharmacy a co-payment for each prescription. The Plan allows up to a 30-day supply or up to a 100-day supply if a maintenance drug is prescribed by your doctor. As a cost-containment feature, the Plan requires that you use a generic drug substitute when it is available.
It is important to note, however, that if the prescription calls for a brand name, the pharmacist will dispense the generic drug whenever a generic equivalent is in stock and may legally be substituted for the prescribed brand name.
If you or your doctor requests a brand-name drug instead of a generic equivalent, you will be charged the difference in cost between the brand-name drug and the generic, in addition to the co-payment applicable to the quantity and type of drug prescribed. The co-payments, which vary depending on the type of drug prescribed and the quantity dispensed, as set forth above.