Pharmacy Coverage: Convenient Access to Medications
Your prescriptions are an important part of your health. With our pharmacy coverage, you can save money and simplify your care by using in-network pharmacies. It’s all about making sure you and your family have easy, affordable access to the medications you need.
800-508-4722 | premera.com | Group number: 4015771
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Pharmacy Coverage |
Using Your Pharmacy Benefits
The Premera Blue Cross Blue Shield of Alaska medical plans include pharmacy coverage. Both plans require the use of appropriate generic drugs. When available, a generic drug will be dispensed in place of a brand-name drug. If a generic equivalent is not manufactured, the applicable brand-name copay or coinsurance will apply. You or the prescriber may request a brand-name drug instead of a generic, but if there is a generic available, you will be required to pay the difference in price between the brand-name drug and the generic equivalent, in addition to paying the applicable brand-name drug copay or coinsurance.
Notice regarding Medicare Part D
Both of the medical plans offer what is called “creditable coverage,” which means a Medicare-eligible person will not have to buy a Medicare Part D supplement for prescription drugs, and will not be subject to the 1% per month late enrollment charge assessed by Medicare for purchasing Part D at a later date. If you have questions about your options, please contact Human Resources.
| Option 1: $1,000 PPO Yukon Network |
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|---|---|---|
| Retail (30-day Supply) | Mail Order (90-day Supply)* | |
| Preferred Generic | You pay $15 copay** | You pay $37.50 copay** |
| Preferred Brand | You pay $30 copay** | You pay $75 copay** |
| Non-Preferred Generic | You pay $50 copay** | You pay $125 copay** |
| Non-Preferred Brand | You pay $50 copay** | You pay $125 copay** |
| Specialty Drugs*** | You pay 30% After Deductible | You pay 30% After Deductible |
| *Mail Order prescriptions are only covered from Participating Pharmacies
**Indicates deductible waived ***Specialty drugs have a dispensing limit of a 30-day supply from both retail and mail order pharmacies and are only covered at in-network and participating mail order pharmacies This information is designed to help you choose a benefit plan for 2026 only. Please refer to the Plan Documents provided by the carrier for information regarding coverage, limitations, and exclusions. If there is a difference between this guide and the Plan Documents, the Plan Documents prevail. |
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| Option 2: $2,000 HSA Yukon Network |
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|---|---|---|
| Retail (30-day Supply) | Mail Order (90-day Supply)* | |
| Preferred Generic | You pay 20% After Deductible** | You pay 20% After Deductible** |
| Preferred Brand | You pay 20% After Deductible** | You pay 20% After Deductible** |
| Non-Preferred Generic | You pay 20% After Deductible** | You pay 20% After Deductible** |
| Non-Preferred Brand | You pay 20% After Deductible** | You pay 20% After Deductible** |
| Specialty Drugs*** | You pay 20% After Deductible** | You pay 20% After Deductible** |
| *Mail Order prescriptions are only covered from Participating Pharmacies
**Indicates deductible waived ***Specialty drugs have a dispensing limit of a 30-day supply from both retail and mail order pharmacies and are only covered at in-network and participating mail order pharmacies This information is designed to help you choose a benefit plan for 2026 only. Please refer to the Plan Documents provided by the carrier for information regarding coverage, limitations, and exclusions. If there is a difference between this guide and the Plan Documents, the Plan Documents prevail. |
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