HMO 90-Day Supply Program

Program Summary

The 90-day supply program is a standard part of the BCBSIL HMO prescription drug benefit. The 90-day supply program gives members who need maintenance medications the opportunity to purchase a 90-day supply through a network of contracting retail and mail service pharmacies. Their plan 90-day supply coinsurance or copayment amount applies.

Payment Amounts

In most situations, prescription drug card members pay either:

• A 3-tier coinsurance amount that is lowest for generic medications, the same or slightly higher for formulary brands and the highest for non-formulary brands
• A fixed 3-tier copayment amount depending on whether the medication is generic, formulary brand or non-formulary brand
• A fixed 2-tier copayment depending on whether the medication is generic or brand