What is the member payment for a 100-day supply mail order prescription on Tiers 1 and 2?

The member payment for a 100-day supply mail order prescription on Tiers 1 and 2 being $0 copay reflects the benefit structure designed to promote medication adherence and overall health care efficiency. Tiers 1 and 2 typically consist of generic drugs and preferred brand-name medications, which are encouraged for use due to their cost-effectiveness compared to other drug tiers.

By having a $0 copay for mail order prescriptions, it removes financial barriers for members, encouraging them to utilize the mail order option, which can be more convenient and cost-effective for both the member and the health plan. This strategy supports the goal of maintaining member engagement in their health and ensuring consistent access to necessary medications without additional financial strain.

In contrast, the other options suggest various forms of copayments or coinsurance that would increase the member’s out-of-pocket expenses, which would be counterproductive to the intention of enhancing medication access and adherence for essential medications in these tiers.