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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, 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.
**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. Naroctic 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
Heart
Blood Pressure

Coreg® (carvedilol)
Norvasc® (amlodipine)
Prinivil, Zestril® (lisinopril)
Toprol XL® (metoprolol succinate extended-release)
Inderal® (propranolol)

Anxiety
Depression
Anticonvulsants

Paxil® (paroxetine)
Zoloft® (sertraline)
Wellbutrin XL® (bupropion XL)
Celexa® (citalopram)
Abilify (aripiprazole) Beging July 1, 2018
Cymbalta (duloxetine) Begining July 1, 2018

Asthma

Pro Air Respiclick®

Diabetes

Glucophage® (metformin)
Lantus®*
Humulin®
Humalog®
Toujeo®

Flu/Pneumonia Vaccines

Fluvirin
Influenza A (H1N1)
Pneumovax