The increase in copay for specialty medications is more than I used to pay. Is this because members can only use the Accredo pharmacy?
No. The copay change is not related to the fact that Accredo is providing specialty pharmacy services. The copay increase was implemented to help control the rising cost of specialty medications, which average over $1500/month, and to maintain an affordable prescription drug benefit for Plan members. However, in this process some members will see their out-of-pocket expenses increase due to the copay change. As an example, most specialty medications are brand name medications and were previously in Tier 4, with a $50 copay. A few specialty medications, such as Ribavirin, are generics, but cost the plan over $400 for a 30-day supply. The copay for all specialty medications will be increasing from $10/month to 25% coinsurance (up to $100/month). Back to top Does this copay change apply to specialty medications that are administered in my doctors office? No. The requirement to use Accredo only applies to specialty medications currently covered under the pharmacy benefit and obtained from
Related Questions
- The increase in copay for specialty medications is more than I used to pay. Is this because members can only use the Accredo pharmacy?
- Why might I be asked to send in supporting documentation when I used the Benefits Card to pay for a fixed copay amount?
- What pharmacy network will be used for OEBB members?
