CoverRx Benefits
Members pay no monthly premiums to participate in CoverRx, but co-pays are required for most prescriptions. CoverRx provides the following benefits:
- Affordable access to more than 200 generic medications, insulin, diabetic supplies and select mental health drugs
- Up to five prescriptions per month (insulin, diabetic supplies, and vaccines do not count against the monthly limit)
- Discount for many non-covered drugs
- CoverRx is not insurance and will not cover doctor's visits or hospitalizations
| Drug Category | CoPay |
|---|---|
| Generics: 30-day supply* | $3 |
| Generics: 90-day supply** | $5 |
| Brand / Insulins 40 ml per fill per type / Diabetic Supplies | $5 |
| Vaccines, Narcan Nasal Spray, and Naloxone | $0 |
| Drugs not on the CoverRx list and all prescriptions above the five prescription per month limit | Lesser of Discount, FUL, MAC or U&C*** |
| *Quantity Limits: Aripiprazole: 1 tablet per day; Duloxetine: 2 capsules per day; Prazosin and Venlafaxine - 1 capsules per day; Naloxone: 2 per month; Narcan Nasal: 1 kit per month; oseltamivir: 20 capsules per 180 days; Sumatriptan - 9 tablets per month; Ergocalciferol 13 capsules per 90 days; Ketorolac: 20 tablets per 60 days; Olanzapine IR 2.5mg, 5mg, 7.5mg, &10mg tablets:2 tablets per day; Olanzapine IR 15mg & 20mg: 1 tablet per day; Insulin Test Strips, Syringes,& Pen Needles: 100 per 30days; Alcohol Swabs & Lancets: 100 per 30 days. **90-day supplies available only through mail order and select retail pharmacies that have chosen to participate. Check with your local pharmacy to see if 90-day supplies are available at that location. ***Discount means a price reduction offered to participants for certain prescriptions. Savings for enrollees in CoverRx could range from 0 to 35%. This savings information disclosure, provided in accordance to Tennessee Code Annotated 56-57-104(b), is an estimate and should not be relied upon as any form of guarantee and is not applicable across all medications. Narcotic and benzodiazepine prescriptions do not receive a price reduction. ***MAC means the maximum allowable cost of a drug and is a drug reimbursement policy. ***U&C means usual and customary charges, which are amounts charged by health care providers. CoverRx provides the generic equivalent of the following popular brand drugs: |
|
Cholesterol |
Coreg® (carvedilol) |
Anxiety |
Paxil® (paroxetine) Zoloft® (sertraline) Wellbutrin XL® (bupropion XL) Celexa® (citalopram) Abilify (aripiprazole) Beginning July 1, 2018 Cymbalta (duloxetine) Beginning July 1, 2018 |
Asthma |
Pro Air RespiClick® ProAir HFA® |
Diabetes |
Glucophage® (metformin) Lantus®* Humulin® Humalog® Toujeo® |
Flu/Pneumonia Vaccines |
Afluria® Fluarix® Flublok® Flucelvax® Quad Fluvirin® Fluzone® Influenza A (H1N1) Pneumovax Prevnar 13® COVID-19 |