Prescription Plan
All medical plan participants have prescription drug coverage based on their selected plan. A way to save money is by requesting generics and/or mail order options when available.
| Highmark Blue Cross Blue Shield Highmark PPO |
Highmark Blue Cross Blue Shield Highmark EPO |
Highmark Blue Cross Blue Shield Highmark Comp 80 |
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|---|---|---|---|---|---|---|---|---|
| In-Network Benefits |
Out-of-Network Benefits |
Schedule of Benefits | Schedule of Benefits | |||||
| Retail Pharmacy (30 Day Supply) | ||||||||
| Generic | $8 copay | Not covered | $8 copay | 20% after deductible | ||||
| Preferred | $30 copay | Not covered | $30 copay | 20% after deductible | ||||
| Non-Preferred | $50 copay | Not covered | $50 copay | 20% after deductible | ||||
| Mail Order Pharmacy (90 Day Supply) | ||||||||
| Generic | $16 copay | Not covered | $16 copay | 20% after deductible | ||||
| Preferred | $60 copay | Not covered | $60 copay | 20% after deductible | ||||
| Non-Preferred | $100 copay | Not covered | $100 copay | 20% after deductible | ||||
Retail and Mail order Copay Comparison Chart
Retail Pharmacy (30 Day Supply) versus Mail Order (90 Day Supply)
| Aetna Open Access Select | Aetna Medical QHDHP - HSA Compatible |
Highmark Blue Cross Blue Shield Highmark Co-Op 80 (Retiree Only) |
||||
|---|---|---|---|---|---|---|
| Schedule of Benefits | Schedule of Benefits | Schedule of Benefits | ||||
| Retail Pharmacy (30 Day Supply) | ||||||
| Generic | $8 copay | $8 copay after deductible | 20% after deductible | |||
| Preferred | $30 copay | $30 copay after deductible | 20% after deductible | |||
| Non-Preferred | $50 copay | $50 copay after deductible | 20% after deductible | |||
| Mail Order Pharmacy (90 Day Supply) | ||||||
| Generic | $16 copay | $16 copay after deductible | 20% after deductible | |||
| Preferred | $60 copay | $60 copay after deductible | 20% after deductible | |||
| Non-Preferred | $100 copay | $100 copay after deductible | 20% after deductible | |||
July 2026 National Preferred Formulary Changes
Preferred Members FormularyRxGuide
Clinical Solutions PromptPA Quick Tips Guide Flyer
ESI Mail Order
FLY 90day ESI
FLY MobileAppHC ESI
FLYER Prior Auth Process for Providers
New Castle County - Aetna Aetna Open Access PBC Jan 2026
New Castle County - AetnaAetna QHDHP PBC Jan 2026
New Castle County Highmark Plan Jan 2026
Protect PAs FAQ
Video: Prescription Drug Benefits
