Pharmacy Help Desk: 1-877-209-1264, Provider PA Help Desk: 1-877-207-1126

Copay Information

Current Prescription Copays
• Generic Medications - $0.65
• Preferred/Non-Preferred Brand Medications - $3.65
• Compounds (Brand and/or Generic Medications) - $3.65

Copays are exempt for the following:
• Clients under age 21,
• Nursing facility residents,
• Pregnant women,
• American Indians and Alaska Natives,
• Family planning services,
• Emergency services,
• Hospice services, and
• Vaccines