
Tier 3 Non-Preffered or Non-Formulary Brand Name Drugsįor specific information about costs, you may call the toll-free number on your prescription ID card or contact your benefit provider for this information.Įven if a specific copay cost is given, you may pay less than the listed copay for the medication. Tier 2 Preferred or Formulary Brand Name Drugs

Learn more about Flexible Spending Accounts. Please contact the pharmacy if you would like this set up. If you are using payroll deduct for the cafeteria, the pharmacy charge will appear as a separate line item.Ĭard information may be stored securely using a method that meets Payment Card Industry (PCI) Data Security Standards. The date of charge cannot be moved to another paycheck period. Payroll deduct for UnityPoint Health team members* - for payroll deduction, the total amount due will be automatically deducted from your paycheck (post tax) in the pay period in which the prescription is picked up or delivered.

Cost & Payment of Your Prescriptions Payment options include:
