Aetna Standard Formulary
Aetna will provide health and prescription coverage for faculty, staff, and retirees of Truman State University for the 2019 plan year (January 1 through December 31, 2019).
Prescription Drug Co-Pays for Plan A and Plan B are as follows:
Retail (30-day supply)* | Mail-Order (90-day supply)* | |
Level 1 (Generics) | $15 | $30 |
Level 2 (Formulary Brand name) | $30 | $60 |
Level 3 (Non-Formulary Brand name) | $60 | $120 |
Level 4 (Self-Injectibles) | 20% ($200 max per prescription) | 20% ($200 max) |
Prescription Drug Co-Pays for Plan C are as follows:
The full cost of the drug is applied to the deductible before benefits are considered for payment under the pharmacy plan except for the preventative medications listed here.
Retail (30-day supply)* | Mail-Order (90-day supply)* | |
Level 1 (Generics) | 20% | 20% |
Level 2 (Formulary Brand name) | 20% | 20% |
Level 3 (Non-Formulary Brand name) | 20% | 20% |
Level 4 (Self-Injectible) | 20% | 20% |
*Coverage is in-network only. Please refer to Benefit Summaries for out of network premiums.