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Plan Description

Your prescription coverage depends on your insurance plan. If you have the Johns Hopkins Student Health Program insurance, the pharmacy benefit is based on the information below.

The Johns Hopkins Student Health Program pharmacy benefit is based on a three-tiered copayment structure (formulary):

Tier 1: Generic Drugs approved by the FDA

  • You will pay $10 for each 30-day supply at your pharmacy, for a total of $30 for a 90-day supply.
  • You may choose to fill your prescription for a 90-day supply through the mail (mail order). In that case, you will pay $20 (this saves you one month’s copay)

Note: Generic drugs contain the same active ingredients as brand-name medications. Generics are chemically and therapeutically equivalent to brand drugs, but are available at a lower price.


Tier 2: Preferred Brand Drugs

  • You will pay $20 for each 30-day supply at your pharmacy, for a total of $60 for a 90-day supply.
  • You may choose to fill your prescription for a 90-day supply through the mail (mail order). In that case, you will pay $40 (this saves you one month’s copay)

Note: These brand-name drugs have been identified as the most therapeutically safe and effective options for treatment of most medical conditions.


Tier 3: Non-Preferred Brand Drugs

  • You will pay $35 for each 30-day supply at your pharmacy, for a total of $105 for a 90-day supply.
  • You may choose to fill your prescription for a 90-day supply through the mail (mail order). In that case, you will pay $70 (this saves you one month’s copay)

Note: These drugs often have either a generic equivalent or a preferred-brand drug alternative.

Notes:

1. The Student Health Program does not cover drugs used for cosmetic purposes. Although these drugs may be prescribed by a physician or other health care provider, members are responsible for the full pharmacy cost.

2. The Student health program does not cover drugs which are self-prescribed, or prescribed by a friend, relative or another member of the Student Health Program.

 

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