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Plan Description


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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