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Flex 2002 News: New Copayments for Generic and Brand Prescription Drugs

Currently under Merck’s Prescription Drug Program, prescriptions filled at one of Merck-Medco’s participating pharmacies through Merck-Medco’s Home Delivery Pharmacy service (by mail or online at http://www.merckmedco.com) are covered at 100% after a small copayment. This copayment varies by medical option—$4 under the 90/10, POS, PPO and HMO options and $7 under the 80/20 option—and is waived for all Merck-brand drugs.

Effective January 1, 2002, new prescription drug copayments will apply to all Merck Medical Plan options. These new copayments—which are summarized below—are designed to:
  • Ensure appropriate employee cost-sharing;
  • Recognize the value of brand drugs—as well as the cost differences between generics and brands; and
  • Encourage employees to fill and refill prescriptions—particularly maintenance medications that are used to manage chronic conditions—by mail and online, through Merck-Medco’s Home Delivery Pharmacy service.

Summary of New Prescription Drug Copayments for All Merck Medical Plan Options
(90/10, 80/20, POS, PPO and HMOs)
  By Mail or Online through Merck-Medco’s Home Delivery Pharmacy Service* At Merck-Medco Participating Pharmacies**
  For up to a 90-Day Supply For up to a 30-Day Supply
Merck-brand drugs $0 $0
Generic drugs $4 $4
Non-Merck brand drugs $12 $12
* Certain prescription medications are available only through Merck-Medco’s Home Delivery Pharmacy service—for example, oral contraceptives and male erectile dysfunction medications.
** Prescriptions filled at non-participating pharmacies will be reimbursed based on the network-negotiated price of the medication, minus the applicable copayment. Employees are responsible for any drug costs in excess of network negotiated fees.

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