The cost information you'll find in this look-up tool is an estimate of copay and plan sponsor cost based on a common pharmacy plan design. The tool will give you a general idea of the potential costs of various medicines. Your actual pharmacy benefit will determine your costs. Also, your plan may not cover all of the drugs shown in the look-up tool.
If your employer is based in Minnesota, North Dakota, or Wisconsin, 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.