HMO 90-Day Supply Program
The 90-day supply program is a standard part of the BCBSIL HMO prescription drug benefit. The 90-day supply program gives members who need maintenance medications the opportunity to purchase a 90-day supply through a network of contracting retail and mail service pharmacies. Their plan 90-day supply coinsurance or copayment amount applies.
In most situations, prescription drug card members pay either:
- A 3-tier coinsurance amount that is lowest for generic medications, the same or slightly higher for formulary brands and the highest for non-formulary brands
- A fixed 3-tier copayment amount depending on whether the medication is generic, formulary brand or non-formulary brand
- A fixed 2-tier copayment depending on whether the medication is generic or brand