Innova and Engage include pharmacy benefits. The pharmacy benefit offers a choice of tiered plan designs with three copayment, deductible and cost-share options. Members may be balance billed if a non-participating pharmacy is used.

Employer groups can choose their copayment, deductibles and cost-share maximums:

• Copayment
  • $5 to $10 for generics
• $25 to 35 percent for brand-name formulary and
• $50 to 50 percent for brand-name non-formulary
  
  
• Deductible (Generica are not subject to deductible)
  • $0
  • $250
  • $500
    
    
• Cost-share maximum
  • $3,000
  • $4,000
  • $5,000

Note: The following supplies are covered under the pharmacy benefit and can be purchased through retail pharmacies:

• Diabetic supplies (test strips, lancets and blood glucose monitors)
• Self-administered injectable drugs. Exception: The first three teaching doses per medication per lifetime are covered under the medical benefit. The medication policy on self-administered injectable drugs is located at www.regence.com/trgmedpol/drugs/dru110.pdf#page=1

Innova and Engage feature:

• RegenceRx
• RegenceRx Web site
• myRegence.com, powered by the Regence Engine
• Regence Preferred Medication List/Formulary.

More information about RegenceRx can be found in the Pharmacy section of the Provider Office Manual.

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