For prescriptions filled through retail pharmacies you can reduce your copayment amount by going to one of the preferred pharmacies.
Non-Preferred: CVS, Rite Aid, Sam’s, Target, Walgreens & Wal-Mart
Preferred: All those that are not listed as “non-preferred”
If you use a retail pharmacy (outside of The Clinic), you need to show your new ID card which identifies the pharmacy benefit manager ProCareRX
There is no longer Mail Order, but you can fill a 90-day prescription at a preferred pharmacy.
Veracity Benefits is a consulting service for any plan members using a Tier 4 or specialty drug. A patient advocate will be assigned to assist those employees. They will work with you to receive your Tier 4 or specialty medication at the lowest possible cost. You will be contacted if you are currently taking a Tier 4 or specialty medication to ensure a smooth transition.
Pharmacy Concierge Services through Veracity Benefits. Specialty medications are covered only in cooperation with our Pharmacy Concierge Service. A Pharmacy Concierge, who is a registered pharmacist, will work with our employees and/or their dependents who are taking a specialty medication, the specialty medication manufacturer, and other entities to maintain the prescriptions while alleviating the financial burden. They have vast experience in the pharmaceutical field which serves as a tremendous resource for our members. The program allows employees to continue to fill Specialty medications in most cases at no cost, but never more than they are currently paying.
See the Prescription Formulary Tab for specific details
Generic Drug Savings Information
Many brand name drugs are coming off patent protection and generic drugs at significant savings are available. The links below provide information on the generic availability and potential savings.
Vericaty Formulary 2023 – Designates Tiers and Specialty status
| 30-Day Supply | Tier 1 Preferred Generics |
Tier 2 Preferred Brands |
Tier 3 Non-Preferred Generics & Brands |
Tier 4 Non-Covered Drugs at Discounted Rate |
| The Clinic | When processed through The Clinic and filled at a Preferred Pharmacy there is No Charge. | Not available | Not available | |
| Preferred Pharmacies | $15 copay
(90-day supply $45) |
$50 copay
(90-day supply $150) |
$100 copay
(90-day supply $300) |
Member Pays 100% of Discounted Price After Manufacturer Assistance. |
| Non-Preferred Pharmacies | $35 copay | $70 copay | $120 copay | Member Pays 100% of Discounted Price After Manufacturer Assistance. |
Non-Preferred: CVS, Rite Aid, Sam’s, Target, Walgreens & Wal-Mart
Preferred: All those that are not listed as “non-preferred”
