Prescription Drugs Your Prescription Drug benefit covers those items described in the HNE Formulary. Please Call Member Services or visit hne.com for a copy of the HNE Formulary.
Important Note: Prescription drugs are subject to the Combined Medical/Pharmacy deductible for this plan. See the Summary of Benefits Chart for information about the deductible.
Copayment
At a Plan Pharmacy (up to a 30-day supply)
Generic Drugs
$10
Formulary Drugs
$25
Non-formulary Drugs
$45
Through Mail Order (up to a 90-day supply of maintenance medication)