Prescription Drug Coverage for PSHB
Take a closer look at our prescription drug coverage and pharmacy programs.
Your prescription drug coverage
As a retired Postal Service employee, your prescriptions are covered by our Medicare Prescription Drug Program (MPDP), a Medicare Part D plan, that gives you lower out-of-pocket costs for higher-cost drugs and access to more approved prescription drugs. The drug list includes all covered prescription drugs, including generic, brand name and specialty drugs for your plan.
Please note that if you opt out or disenroll from MPDP, you will no longer have any prescription drug benefits with FEP.
Get access to over 55,000 retail pharmacies nationwide
We have a network of over 55,000 Preferred retail pharmacies nationwide to fill your prescriptions. Use our pharmacy locator tool to find one near you.
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MPDP Drug tiers
There are four drug tiers under MPDP for all our plans: Generics, Preferred Brand Name, Non-preferred Brand Name and Specialty. The amount you pay for a drug depends on the tier. In general, the lower the drug tier, the less you pay.
Take a closer look at FEP Medicare Prescription Drug Program for PSHB
Eligible members with Medicare get lower out-of-pocket costs for higher cost drugs and more approved prescription drugs than the traditional pharmacy benefit. Learn more here.
| FEP Blue Focus with MPDP | FEP Blue Basic with MPDP | FEP Blue Standard with MPDP | |
|---|---|---|---|
| FEP Medicare Prescription Drug Program Out-of-Pocket Maximum | $2,100 per member | $2,100 per member | $2,100 per member |
| Retail Pharmacy |
Generics: $5 copay for up to a 30-day supply; $15 copay for a 31 to 90-day supply Preferred brand name: 40% coinsurance Non-preferred brand name: 40% coinsurance Specialty drugs: 40% coinsurance |
Generics: $10 copay for up to a 30-day supply; $30 copay for a 31 to 90-day supply Preferred brand name: $45 copay for up to a 30-day supply; $135 copay for a 31 to 90-day supply Non-preferred brand name: 50% coinsurance Specialty drugs: $75 copay for up to a 30-day supply; $195 copay for a 31 to 90-day supply |
Generics: $5 copay for up to a 30-day supply; $15 copay for a 31 to 90-day supply Preferred brand name: $35 copay for up to a 30-day supply; $105 copay for a 31 to 90-day supply Non-preferred brand name: 50% coinsurance Specialty drugs: $60 copay for up to a 30-day supply; $170 copay for a 31 to 90-day supply |
| FEP Mail Service Pharmacy | Not a benefit |
Generics: $15 copay Preferred brand name: $95 copay Non-preferred brand name: $125 copay Specialty drugs: $150 copay |
Generics: $5 copay Preferred brand name: $85 copay Non-preferred brand name: $125 copay Specialty drugs: $150 copay |
Take a closer look at FEP Medicare Prescription Drug Program for PSHB
Eligible members with Medicare get lower out-of-pocket costs for higher cost drugs and more approved prescription drugs than the traditional pharmacy benefit. Learn more here.
| FEP Blue Focus with MPDP | FEP Blue Basic with MPDP | FEP Blue Standard with MPDP | |
|---|---|---|---|
| FEP Medicare Prescription Drug Program Out-of-Pocket Maximum | $2,000 per member | $2,000 per member | $2,000 per member |
| Retail Pharmacy |
Generics: $5 copay for up to a 30-day supply; $15 copay for a 31 to 90-day supply Preferred brand name: 40% coinsurance Non-preferred brand name: 40% coinsurance Specialty drugs: 40% coinsurance |
Generics: $10 copay for up to a 30-day supply; $30 copay for a 31 to 90-day supply Preferred brand name: $45 copay for up to a 30-day supply; $135 copay for a 31 to 90-day supply Non-preferred brand name: 50% coinsurance Specialty drugs: $75 copay for up to a 30-day supply; $195 copay for a 31 to 90-day supply |
Generics: $5 copay for up to a 30-day supply; $15 copay for a 31 to 90-day supply Preferred brand name: $35 copay for up to a 30-day supply; $105 copay for a 31 to 90-day supply Non-preferred brand name: 50% coinsurance Specialty drugs: $60 copay for up to a 30-day supply; $170 copay for a 31 to 90-day supply |
| FEP Mail Service Pharmacy | Not a benefit |
Generics: $15 copay Preferred brand name: $95 copay Non-preferred brand name: $125 copay Specialty drugs: $150 copay |
Generics: $5 copay Preferred brand name: $85 copay Non-preferred brand name: $125 copay Specialty drugs: $150 copay |
This is a summary of the features of the Blue Cross and Blue Shield Service Benefit Plan. Before making a final decision, please read the Plan’s Postal Service Health Benefits Program brochures (FEP Blue Standard and FEP Blue Basic: RI 71-020; FEP Blue Focus: RI 71-025). All benefits are subject to the definitions, limitations and exclusions set forth in the brochures.
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Prior approval and covered equivalents
Helpful resources
Medication Therapy Management
See how you can get support from a pharmacist if you have complex prescription drug needs.
Learn MoreMedicare Prescription Payment Plan
Learn more about a voluntary payment plan that may help you if you have high prescription drug costs.
Learn MoreMPDP Resources
View and download MPDP summary of benefits, approved drug lists, claim forms and more.
Learn More