The cost information shown you'll find in this look-up tool is an estimate based on a common pharmacy plan design for health savings account (HSA) plans. With an HSA, you generally pay the full cost of your prescriptions until you meet your deductible. The tool will give you a general idea of the potential costs of various medicines. Your actual pharmacy benefit will determine your costs. Your plan also may not cover all of the drugs shown in the look-up tool. This tool includes the HSA preventive drug list.
If your employer is based in Minnesota, North Dakota, South Dakota, Nebraska, Wisconsin, or Harrison county, Mills county, or Pottawattamie county in Iowa, and offers fully insured Medica plans, or offers self-insured Medica plans with the $25 insulin cost relief program, you will pay no more than $25 for insulin per prescription unit. If your plan normally has a deductible for prescriptions, the deductible is waived for insulin
For more information, call Member Services at the number on the back of your member ID card (TTY: 711).
By using this look-up tool, you agree to the terms and conditions of use, and you understand that the tool provides estimates only.