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Prescription Drugs, continued
Here are the prescription drug plans that are offered with our Aetna HMO and Kaiser HMO plans.
Aetna HMO
Kaiser HMO
In-Network
In-Network
Pharmacy
Generic
$10 copay
$10 copay
Preferred Brand
$25 copay
$20 copay
Non-preferred Brand
$40 copay
n/a
Specialty Drug
You are responsible for 20% up to
$200
$20 copay
Supply Limit
Up to a 30-day supply
up to a 30-day supply
Mail Order
Generic
$20 copay
$20 copay
Preferred Brand
$50 copay
$40 copay
Non-preferred Brand
$80 copay
n/a
Supply Limit
Up to a 90-day supply
up to a 100-day supply