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
|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:
Wellbutrin XL® (bupropion XL)
Abilify (aripiprazole) Beginning July 1, 2018
Cymbalta (duloxetine) Beginning July 1, 2018
|Pro Air RespiClick®
Influenza A (H1N1)