Indemnity Plan


Pricing Tool

This is a tool designed to assist you in anticipating your potential member’s drugs costs. Each membership has specific drug benefit and a specific drug pricing tool. When you need to determine a cost for a medication, you need to select the appropriate drug pricing tool by matching the drug benefit and calendar year maximum with the drug pricing tool listed below.


$10 Generic
$1800 Year Max


$10 Generic Benefit / $1800 Calendar Year Maximum

This Rx Plan will pay a $10 benefit for each covered generic prescription up to $1800 calendar year maximums. Brand name drugs may be subject to a discount.



$10 Generic
$2400 Year Max


$10 Generic Benefit / $2400 Calendar Year Maximum

This Rx Plan will pay a $10 benefit for each covered generic prescription up to $1200 calendar year maximums. Brand name drugs may be subject to a discount.



$10 Generic
$30 Brand Name
$1200 Year Max


$10 Generic Benefit / $30 Brand Name Benefit / $1200 Calendar Year Maximum

This Rx Plan will pay a $10 benefit for each covered generic prescription, and a $30 benefit for each covered Brand Name prescription, up to $1200 calendar year maximums. Brand name drugs may be subject to a discount.



$10 Generic
$30 Brand Name
$1800 Year Max


$10 Generic Benefit / $30 Brand Name Benefit / $1800 Calendar Year Maximum

This Rx Plan will pay a $10 benefit for each covered generic prescription, and a $30 benefit for each covered Brand Name prescription, up to $1800 calendar year maximums. Brand name drugs may be subject to a discount.



$10 Generic
$30 Brand Name
$2400 Year Max


$10 Generic Benefit / $30 Brand Name Benefit / $2400 Calendar Year Maximum

This Rx Plan will pay a $10 benefit for each covered generic prescription, and a $30 benefit for each covered Brand Name prescription, up to $1800 calendar year maximums. Brand name drugs may be subject to a discount.