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COVID-19 Info: Vaccines (5 & up) | Boosters | Testing | Visitor Guidelines | Stats | More

IMPORTANT NOTICE: COVID-19 testing appointments are not available at Cone Health emergency departments or urgent care locations. Click here for testing options.

2022 Prescription Drug Plan

No Changes to the Prescription Drug Benefit in 2022. Click the 2022 Prescription Drug Chart to view copay structures for each medical plan.

The prescription drug plan is the same for all three health care plans – Choice, Save and Focus. However, with Choice and Focus Plans, prescription drugs are not subject to the deductible and the plan will pay according to the chart.

Remember that with the Save Plan, the full cost of prescription drugs must be paid for by you until your deductible is met. Once your deductible is met, the prescription drug plan will pay as listed on the chart. The only exception is the list of Safe Harbor medications. The Safe Harbor list allows Save Plan members to receive those medications at the same cost as the Choice and Focus Plans before meeting the deductible.

Across all plans, manufacturer copay savings cards or coupons used at the pharmacy will NOT be applied to your deductible or out-of-pocket maximum amounts. Only your TRUE out-of-pocket expense will apply to the deductible and out-of-pocket maximum.

Specialty Pharmacy Services

Beginning January 1, 2022, members will be required to work with our Cone Health Specialty Pharmacy when filling select Specialty medications. Our Specialty team is dedicated to providing services that will facilitate best practices while alleviating barriers to access resulting in a better experience for our members. Services include and not limited to ongoing clinical support to minimize adverse events, increased adherence to medication through refill reminders, and assistance with copay cards to reduce your out-of-pocket costs. Click here for more information.