SilverScript prescription cost
These links reflect the current prescription benefits. Choose the link that corresponds to your HealthChoice Plan to log into the prescription cost estimator on the CVS Caremark site. Prices shown are estimates and are not guaranteed. Some medications that have been removed from the formulary will still allow you to be able to see pricing, please call SilverScript to confirm coverage. Please note when utilizing this site, the price shown includes the annual pharmacy deductible. Please disregard if you have met your deductible.
SilverScript copay structure
| HealthChoice SilverScript High Option with Part D | HealthChoice SilverScript Low Option with Part D |
|---|---|
| Pharmacy Deductible | Pharmacy Deductible |
| You pay the first $100 in medication costs. | You pay the first $505 in medication costs |
| Initial Coverage Limit | Initial Coverage Limit |
Generic (Tier 1) Drugs Up to $10 copay Preferred (Tier 2) Drugs Insulin – No more than $35 copay |
After the deductible, you and HealthChoice share prescription drug costs. You pay 25% ($1,165) and HealthChoice pays 75% ($3,495) until total drug spending reaches $4,660. |
| Coverage Gap | Coverage Gap |
| NONE | You pay 100% of your prescription drug costs at discounted rates – 25% of the cost of generic drugs and 25% of the cost of brand-name drugs. What you pay for brand-name drugs plus the 70%manufacturer discount applies to your out-of-pocket to get out of the coverage gap. For generic drugs, only what you pay applies. |
| Catastrophic Coverage | Catastrophic Coverage |
| Once you reach the $7,400 out-of-pocket maximum, you pay $0 for covered prescription drugs purchased at network pharmacies for the remainder of the calendar year. | Once you reach the $7,400 out-of-pocket maximum, you pay $0 for covered prescription drugs purchased at network pharmacies for the remainder of the calendar year. |
