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.
Copayment
In-Plan
Out-of-Plan
At a Plan Pharmacy (up to a 30-day supply)
Generic Drugs
$10
$10 copayment then 20%
Formulary Drugs
$25
$25 copayment then 20%
Non-formulary Drugs
$45
$45 copayment then 20%
Through Mail Order (up to a 90-day supply of maintenance medication)
