Prescription Drug Coverage Overview

Both Medtronic medical plans include prescription drug coverage.

The PPO Plan pays 100% for certain generic medications. Your costs for brand name drugs depend on the type of drug prescribed.

The CHP also pays 100% for certain generics. For all other prescriptions, you pay 20% of the cost for prescriptions after meeting the plan’s deductible. HSA funds can be used to pay for prescription drug costs.

With the PPO Plan and the CHP, you have access to an enhanced pharmacy network, the Choice Rx network, which includes CVS stores, Wal-Mart stores, Kroger stores and other community pharmacies. If you fill a prescription using a Choice Rx network pharmacy, you will pay lower out-of-pocket costs and receive 100% coverage for a 90-day supply of select generic medications.

MyMeds Program

MyMeds is a medication adherence program that helps you keep track of all your prescriptions, over-the-counter medications, vitamins and supplements in one place.

MyMeds works with your health plan, too, so your prescriptions are automatically loaded once you register. You will also earn Healthier Together reward points for enrolling and participating in the program.

MyMeds is available to employees and spouses who are enrolled in the CHP with HSA or PPO Plans.

Prescription Drug Coverage Details

Here are some details of your prescription drug coverage under both medical plans:

 CHP with HSAPPO Plan
34-Day Supply90-Day Supply*
Certain prescribed generic medications100% Coverage:
  • Prescribed generic contraceptive and tobacco cessation medications
  • Certain generic diabetes, high blood pressure and cholesterol medications (90-day supply through mail order or Choice Rx network only)
100% Coverage:
  • Prescribed generic contraceptive and tobacco cessation medications
100% Coverage:
  • Prescribed generic contraceptive and tobacco cessation medications
  • Certain generic diabetes, high blood pressure and cholesterol medications (90-day supply through mail order or Choice Rx network only)
Generic20% coinsurance, after deductible
  • Choice Rx Network: $10
  • Out-of-Network: $15
  • Choice Rx Network: $20
  • Out-of-Network: $30
Formulary Brand20% coinsurance, after deductible20% ($30 min/$60 max)$60 copay
Non-Formulary Brand20% coinsurance, after deductible20% ($50 min/$100 max)$100 copay
Specialty20% coinsurance, after deductible20% ($150 max)$300 copay

*90-day retail prescriptions are only available at Choice Rx pharmacies.

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