Your PPO coverage includes both retail and mail order prescription drug coverage.
retail You can receive up to a 30 day supply at a retail pharmacy using your prescription card.
**co-pays
Generic
$10
Brand Name Formulary
$20
Brand Name Non-Formulary
$30
mail order
You would receive a three month supply for the co-pay listed below by using the mail order program. Visit the following website to order your prescriptions online: https://www.ipsrx.com/ (click on 'Member Info')
**co-pays
July 1, 2004 - June 30, 2007
effective July 1, 2007
Generic
$10
$15
Brand Name Formulary
$20
$30
Brand Name Non-formulary
$30
$45
generic substitution When enrolling with Immediate Pharmaceutical Services you may choose whether or not you wish to receive a brand-name drug or a generic brand prescription (if one exists). Generic drugs have the same ingredients as brand-name drugs. The program is regulated by national dispensing standards.
**AFSCME members: consult your union contract for details regarding your benefit coverage.
Ohio University Human Resources 169 West Union Street Human Resources and Training Center Athens, OH 45701 Phone: (740) 593-1636 | Fax: (740) 593-0386
