Embark and Vantage include pharmacy benefits. The pharmacy benefit offers a choice of tiered plan designs with three copayment, deductible and cost-share options. Members may be balance billed if a non-participating pharmacy is used.

Employer groups can choose their copayment, deductibles and cost-share maximums:

• Copayment
  • $5 to $10 for generics
  • $25 to 35 percent for brand-name formulary and
  • $50 to 50 percent for brand-name non-formulary
    
    
• Deductible (Generics are not subject to deductible)
• $0
• $250
• $500

• Cost-share maximum
  • $3,000
  • $4,000
  • $5,000

Note: The following supplies are covered under the pharmacy benefit and can be purchased through retail pharmacies:

• Diabetic supplies (test strips, lancets and blood glucose monitors)
• Self-administered injectable drugs. Exception: The first three teaching doses per medication per lifetime are covered under the medical benefit in the medication policy on self-administered injectable drugs.

Embark and Vantage will feature:

• RegenceRx
• RegenceRx Web site
• myAsuris.com, powered by the Asuris Engine
• Asuris Preferred Medication List/Formulary.

More information about RegenceRx can be found in the Pharmacy section of the Provider Office Manual.