PHARMACY Prescription drug coverage is available with all Trilogy medical plans via OptumRx and SynchronyRx@Home. Managing Your Medications Just Got Easier! You must complete a separate enrollment with SynchronyRx@HOME to begin receiving mail order prescriptions. SynchronyRx@Home 30-Day Supply 90-Day Supply For ongoing maintenance 20% after deductible and specialty medications Generic like blood pressure, asthma Preventive Generic $4 Copay $10 Copay or cholesterol medications. Preferred Brand 20% after deductible You can elect a 30- or 90- Non-Preferred Brand 20% after deductible day supply mailed directly to your home with the ability 20% after You must complete a separate to pay through your HSA, Specialty* deductible Not available enrollment with SynchronyRx@HOME LSA or payroll deduction. *If your specialty medication is not available through to begin receiving a mail order SynchronyRx@HOME, you can fill your prescription at an Optum prescription. Rx retail pharmacy. Optum Rx 30-Day Supply 90-Day Supply For short-term prescriptions, Generic 20% after deductible such as antibiotics, find an Preventive Generic $15 Copay $30 Copay in-network retail pharmacy near you by visiting Preferred Brand 20% after deductible optumrx.com. Non-Preferred Brand 20% after deductible 19
