Prescriptions can be expensive. You may be able to save on your drug or pharmacy costs. As always, check with your doctor to learn if these options may work for you.
INDIVIDUAL & FAMILY
2025 Prescription Drug Changes
Check if any of these changes may impact you. You can also learn how to get the most of your pharmacy benefits. Be sure to check this page often for any changes to your drug list.
Your 2025 Drug Lists
Depending on your plan, you will either have a 6 Tier Drug List or a 4 Tier Drug List. The 2025 drug lists are for coverage that renews or starts on or after January 1, 2025.
Please note that some drugs may be covered under your health plan’s medical benefits instead of your pharmacy benefits.2
- Medical benefits: drugs covered under your medical benefits must be given to you by a health care professional in a hospital, office or health care setting.
- Pharmacy benefits: drugs covered under your pharmacy benefits are prescribed medicines you can take on your own.
If you are taking or prescribed a drug not on your plan’s drug list, call the number on your member ID card to learn if the drug could be covered by your plan’s medical benefits.
SAVINGS
Ways To Save On Your Prescription
Use in-network pharmacies
Your out-of-pocket costs are often lower at an in-network pharmacy.
Ask about lower-cost options
You may have lower-cost alternatives, like generic drug options, if your drug moves to a higher tier.
Visit a value pharmacy
Value pharmacies often have the highest savings.3 You can also fill up to a 90-day supply of most covered drugs in these stores or through home delivery.
Use drug coupons
Drug manufacturer’s coupons or copay cards can help you lower your prescription's cost at check-out.4
1 Coverage is based on the terms and limits of your plan. For some drugs, you must meet certain criteria before prescription drug coverage may be approved.
2 Drugs that have not received U.S. Food and Drug Administration approval are not covered. Some benefit plans may have preventive drug benefits. This means you may pay a lower cost, as low as $0, for preventive care drugs. If your plan has preventive drug benefits, and coverage for your prescription changes, the amount you pay under the preventive drug benefit may also change. Some drugs may be covered under your medical plan instead of your pharmacy benefits.
3 The value pharmacy network pricing isn't available for 100% cost-sharing plans.
4 The amount of a drug manufacturer’s coupon or copay card used to pay for a covered prescription drug will not apply to your plan deductible or out-of-pocket maximum (unless it is a permitted third-party cost sharing payment).