Prescription Drugs

Prescription drug coverage is provided through OptumRx.  When your doctor prescribes medication, you have choices about where and how the prescription is filled. There is a separate out-of-pocket maximum with the PPO Plan prescription drug expenses of $2,000 for single coverage and $4,000 for family coverage.

Your out-of-pocket cost for prescription drugs depends on those choices:

Expense
Your Cost for Prescription Drugs in OptumRx Network
BCBS PPO Plan
BU Health Savings Plan
Retail Pharmacy (per 30 day supply)








10% coinsurance up to the annual out-of-pocket maximum

Generic $8 copay
Preferred Brand 20% coinsurance ($40 minimum, $60 maximum)
Non-preferred Brand 30% coinsurance ($60 minimum, $80 maximum)
Mail Order (per 90 day supply)
Generic $16 copay
Preferred Brand 20% coinsurance ($80 minimum, $120 maximum)
Non-preferred Brand 30% coinsurance ($120 minimum, $160 maximum)
Deductible

None
Same deductible  as any other medical expense
$1,500 for single coverage
$3,000 for family coverage
Out-of-Pocket Maximum
Separate maximum from medical expenses
$2,000 for single coverage
$4,000 for family coverage
Same out-of-pocket maximum as any other medical expense
$3,000 for single coverage
$6,000 for family coverage

Note: You pay 100% of cost of medications purchases outside the OptumRx network.

For further assistance, you may contact us at hr@bu.edu or call 617-353-2380.