Results for Prescription Drugs

 HSA In-NetworkHSA Out-of-Network
The Plan Pays: Non-Preventive Drugs

80% (after deductible)

60% (after deductible)

Reasonable and Customary Charges: Up to reasonable and customary (R&C) charges for out of network care. You are responsible for any cost difference if the dental expenses are more than MetLife’s allowed R&C charges.

Coverage is different in the HRA option

If you are enrolled in the HRA option, your prescription drug coverage is different. Visit the HRA option page for prescription drug information that applies to you.

Compound Drugs

Compound drug prescriptions that cost more than $300 require prior authorization.

Save Money with Generics

Generic drugs may look a little different than the brand name prescriptions, but they are just as effective, and they consist of identical ingredients in the same formulation. Plus, every ingredient that goes into a generic drug must be approved by the FDA.

If your pharmacy fills a brand name medication for any reason and a generic is available, you will pay the difference between the brand name and the generic, plus the brand coinsurance.

Save money and go generic the next time you’re at the pharmacy.

Find Preventive Prescription Drugs

For a list of eligible preventive prescription drugs, like medication to treat high cholesterol or high blood pressure, visit CVS/caremark’s website.