PERS ODS Advantage Rx benefits
The PERS ODS Advantage Rx plan offers members a wide variety of valuable prescription drug benefits, including the following:
- An open formulary that includes almost all eligible Part D drugs
- Generic: A generic drug has the same active ingredient formula as the brand-name drug. Generic drugs usually cost less than brand-name drugs and are rated by the Food and Drug Administration (FDA) to be as safe and effective. You generally pay less for a generic drug than a brand-name drug.
- Brand: A prescription drug that is manufactured and sold by the pharmaceutical company that originally researched and developed the drug.
- 40 percent coinsurance up to $150 for generic drugs
- 40 percent coinsurance up to $450 for a 90-day supply of brand drugs
- Catastrophic coverage limit (True out-of-pocket (TrOOP) maximum) of $4,550
- After your annual out-of-pocket drug costs reach $4,550, you pay $0 coinsurance and PERS ODS Advantage Rx pays in full for Part D-covered drugs
- Access to in-network pharmacies in Oregon, Washington and across the U.S.
- Access to a mail-order pharmacy
- A 90-day supply through retail or mail-order
The PERS ODS Advantage Rx Annual Notice of Changes and Evidence of Coverage includes details about plan benefits, limitations, restrictions, the appeal and grievance process, and other important information.
For more information about PERS ODS Advantage Rx benefits, contact PERS ODS Advantage Rx member services.
updated 10/2009
S5975-801
S5975_4006EGRX10A (11/2009)
Log in to Benefit Tracker
Check benefits and eligibility
Log in to Benefit Tracker
Check benefits, eligibility, incentive and utilization
Shopping for health insurance?
Shopping for health insurance?
