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State of Michigan

Comparison of Health Care Options

Prescription Drugs

Generic

Brand Name Preferred

Brand Name Non-Preferred

Retail $10

Retail $20

Retail $40

Mail Order $20

Mail Order $40

Mail Order $80

Retail $10

Retail $20

N/A

Mail Order $20

Mail Order $40

Prescription medications for the State Health Plan PPO are covered under the Participating Pharmacy ID Card Plan administered by BCBSM. The co-pays for prescription drugs (both retail and mail order) are based on the employee's bargaining unit.

Prescriptions filled at a participating pharmacy may only be approved for up to a 34-day supply. Employees can still receive a 90-day supply by mail order.

Employee Group

Non-Exclusively Represented Employees (NERE) (including Judicial employees)

Institutional Unit represented by AFSCME

HSS, S & E, and Technical Units represented by SEIU Local 517M

Labor and Trades, Safety and Regulatory Units represented by MSEA

Security Unit represented by MCO

Human Services and Administrative Support Units represented by UAW

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The prescription drug program will promote the use of generic drugs. Prescription medications on the maintenance drug list (MDL) used on a long term basis will be available only through mail order home delivery per the terms of the contract.

To check the co-pay for drugs you may be taking, visit BCBSM website at http://www.bcbsm.com/som or contact BCBSM at (800) 843-4876. The Preferred/Non-preferred list of drugs is updated periodically as new drugs are added.

For information about HMO prescription drug coverage, check with the HMO provider.

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