Prescription Drug Coverage for PSHB
Take a closer look at our prescription drug coverage and pharmacy programs.
Your prescription drug coverage
As a retired Postal Service employee, your prescriptions are covered by our Medicare Prescription Drug Program (MPDP), a Medicare Part D plan, that gives you lower out-of-pocket costs for higher-cost drugs and access to more approved prescription drugs. The drug list includes all covered prescription drugs, including generic, brand name and specialty drugs for your plan.
Get access to over 55,000 retail pharmacies nationwide
We have a network of over 55,000 Preferred retail pharmacies nationwide to fill your prescriptions. Use our pharmacy locator tool to find one near you.
Find a Pharmacy
MPDP Drug tiers
There are four drug tiers under MPDP for all our plans: Generics, Preferred Brand Name, Non-preferred Brand Name and Specialty. The amount you pay for a drug depends on the tier. In general, the lower the drug tier, the less you pay.
Take a closer look at FEP Medicare Prescription Drug Program
Eligible members with Medicare get lower out-of-pocket costs for higher cost drugs and more approved prescription drugs than the traditional pharmacy benefit. The annual out-of-pocket maximum for prescription drugs will be $2,000. Learn more here.
| FEP Blue Focus® | FEP Blue Basic™ | FEP Blue Standard™ | |
|---|---|---|---|
| Retail Pharmacy |
Generics: $5 copay for up to a 30-day supply; $15 copay for a 31 to 90-day supply Preferred brand name: 40% of our allowance ($350 max) for up to a 30-day supply; 40% of our allowance ($1,050 max) for a 31 to 90-day supply Non-preferred brand name: 40% of our allowance ($350 maximum) for up to a 30-day supply; 40% of our allowance ($1,050 max) for a 31 to 90-day supply Specialty drugs: 40% of our allowance ($350 maximum) for up to a 30-day supply; 40% of our allowance ($1,050 max) for a 31 to 90-day supply |
Generics: $10 copay for up to a 30-day supply; $30 copay for a 31 to 90-day supply Preferred brand name: $45 copay for up to a 30-day supply; $135 copay for a 31 to 90-day supply Non-preferred brand name: 50% of our allowance ($60 min) for up to a 30-day supply; $175 min for a 31 to 90-day supply Specialty drugs: $75 copay for up to a 30-day supply; $195 copay for a 31 to 90-day supply |
Generics: $5 copay for up to a 30-day supply; $15 copay for a 31 to 90-day supply Preferred brand name: $35 copay for up to a 30-day supply; $105 copay for a 31 to 90-day supply Non-preferred brand name: 50% of our allowance for up to a 90-day supply Specialty drugs: $60 copay for up to a 30-day supply; $170 copay for a 31 to 90-day supply |
|
Mail Service Pharmacy (What you'll pay for up to a 90-day supply of covered drugs) |
Not a benefit |
Generics: $15 copay Preferred brand name: $95 copay Non-preferred brand name: $125 copay Specialty drugs: $150 copay |
Generics: $5 copay Preferred brand name: $85 copay Non-preferred brand name: $125 copay Specialty drugs: $150 copay |
Are you living or traveling overseas?*
FEP members who have MPDP cannot purchase drugs overseas. Whether you are traveling or moving overseas, you cannot use the MPDP benefit to purchase drugs while abroad. If you take a maintenance medication and you intend to go overseas for an extended period of time, you may be eligible for an extended filling of the prescription before you leave the U.S. This will require a 12-month prescription from your doctor and is not applicable for controlled substances. Contact our Pharmacy Program at 1-888-338-7737 to learn more.
