Prescription Drugs

• Generic: In most cases, your cost is lowest when you select a drug from this tier. A generic is an affordable and effective alternative to a brand name drug.
• Preferred brand drugs: Drugs in this tier typically cost more than generics but less than other brand-name drugs because of their preferred status. Preferred brand drugs are chosen for their clinical value and cost-effectiveness.
• Nonpreferred brand name drugs: Drugs in this tier are covered under the plan but cost more than a preferred brand drug would.

Typically, retail pharmacies are used for filling 30-day prescriptions. However, you may be able to order a 90-day supply of maintenance medications — either at a retail pharmacy or through mail order. 

The advantage to using mail order for 90-day prescriptions is convenience—your prescription is delivered to your door with an auto-refill option. 

In the program, you’ll work with a personal nurse health coach to:

• Evaluate your wellness and personal needs
• Coordinate your health care
• Improve self-management of your condition

Call 866-458-0474 to learn more and enroll.

If you’re enrolled in an Allegiance medical plan, you can get certain specialty medications at no cost through the PrudentRx program. Prescriptions must be filled at a CVS Specialty Pharmacy or Publix.

You can view the current list of eligible medications under the PrudentRx program. This list is updated monthly, so please check it regularly for any changes.

You’re automatically enrolled in the PrudentRx program if you take any eligible medications. If you choose to opt out of the program, you’ll pay 30% coinsurance (after the deductible) for your medication. View the FAQs for more information.

Note: If you contributed a certain amount to your Health Care Flexible spending Account (HCFSA) for 2024 based on your specialty medication’s eligibility, and it was added or dropped from the list for 2024, you will be allowed to make changes to your 2024 HCFSA election.