Prescription Co-Pay Structure

Ingenio Rx

Member Services: 833-439-1004

Pharmacy Help Desk: 833-253-4454

Specialty Pharmacy: 833-255-0645

Retail Pharmacy - 31-Day Supply

Present your medical I.D. card with your prescription. The pharmacist will fill your prescription and submit your claim electronically for you. You will be charged a copay based on the following criteria:

Generic - $5

Preferred Brand - 25% to a maximum of $35

Non-Preferred Brand - 45% to a maximum of $70

A covered person may elect a brand name product when a generic is available; however, the covered person will be liable for the difference in cost between the brand name and the generic drug along with the brand name copay.

A generic or formulary drug will automatically be substituted for a brand name drug unless there are health reasons and a letter of medical necessity from the prescribing physician has been received and approved by a panel of clinical pharmacists at Ingenio. 

Retail Pharmacy - 90-Day Supply

Generic - $10

Preferred Brand - $50

Non-Preferred Brand - $90

When the retail cost of a Preferred or Non-Preferred Brand name drug is more than $67.00, you can save money using the Retail 90-day supply program.

This program was designed for individuals using maintenance medications for long-term medical conditions.

Have your doctor write your prescription for a 90-day supply with three refills, if appropriate. A covered person may elect a brand name product when a generic is available; however, the covered person will be liable for the difference in cost between the brand name and the generic drug along with the brand name copay.

A generic or formulary drug will automatically be substituted for a brand name drug unless there are health reasons and a letter of medical necessity from the prescribing physician has been received and approved by a panel of clinical pharmacists at Ingenio. 

Mail Order Pharmacy - 90-Day Supply

Generic - $10

Preferred Brand - $50

Non-Preferred Brand - $90
 

When the retail cost of a Preferred or Non-Preferred Brand name drug is more than $67.00, you can save money using the mail order pharmacy.

This program was designed for individuals using maintenance medications for long-term medical conditions.

  • Have your doctor write your prescription for a 90-day supply with three refills, if appropriate.

  • Complete the Order Form and Patient Profile questionnaire. The questionnaire will only need to be completed with your first order.

  • Select method of payment, i.e., credit card or check. Online ordering is available after your initial order.

 

A covered person may elect a brand name product when a generic is available; however, the covered person will be liable for the difference in cost between the brand name and the generic drug along with the brand name copay.

A generic or formulary drug will automatically be substituted for a brand name drug unless there are health reasons and a letter of medical necessity from the prescribing physician has been received and approved by a panel of clinical pharmacists at Ingenio.