HDHP With HSA

With the HDHP with HSA, you pay the full cost for prescriptions until you meet the medical deductible (except for certain preventive drugs). After you meet the medical deductible, you pay copays or coinsurance for prescriptions. What you pay depends on the drug category: generic, preferred brand or non-preferred brand.

Short-Term Prescriptions: Retail Pharmacy

Here’s a look at what you’ll pay for retail drugs (up to a 30-day supply). Cigna network pharmacies include most major pharmacies such as Walgreens and CVS. Pharmacies at Kroger and Sam’s Club are not Cigna network pharmacies.

	Specified Parkland On-Site Pharmacies¹	Cigna Pharmacy Network²	Out-of-Network
Deductible	Combined with medical deductible: $3,500 individual/$7,000 familyrowlabel	Combined with medical deductible: $3,500 individual/$7,000 family	N/A
Generic	$10 copay after deductible	$10 copay after deductible	100% (not covered)
Preferred Brand	$20 copay after deductible	$45 copay after deductible	100% (not covered)
Non-Preferred Brand	$40 copay after deductible	$75 copay after deductible	100% (not covered)

¹ Requires a prescription written by a Tier 1 Parkland provider at a Parkland facility. Prescriptions written by a Children’s Medical Center provider may not be filled at Parkland pharmacies and must be filled at a Cigna Pharmacy Network to be covered.
² For prescriptions written by a Tier 2 provider, you may obtain a 90-day supply from a Cigna network pharmacy.

Long-Term Prescriptions: Mail Order or Retail

Maintenance drugs are drugs you take for long-term or chronic conditions, such as blood pressure medication. You can receive up to a 90-day supply of your medicine.

Parkland Mail-Order: Have your provider electronically send your prescriptions to the Parkland Pharmacy of your choice. See instructions below.
Cigna Pharmacy Network: You have two ways to get your prescription.
- Take advantage of home delivery. Your medications will be delivered directly to you.
- Pick up your prescriptions at a nearby Cigna network pharmacy. (At CVS pharmacies, you can only get a 30-day suppply.)

The first time you fill a prescription, ask your provider for two prescriptions — one that you can fill immediately and one that you can fill through the mail-order service.

Parkland Mail-Order Service

For prescriptions written by a Tier 1 Parkland provider at a Parkland facility
Have your provider electronically send your prescriptions to the Parkland Pharmacy of your choice.
For refill requests, you can use the online refill page on the Parkland Intranet under Pharmacy Employee online refills, Mychart, or call in on the IVR line with the information on your prescription bottle.
Questions? Call 214-590-1400.

Cigna Pharmacy Home Delivery Service

For prescriptions written by a:
- Tier 1 Children’s Medical Center provider
- Tier 2 provider in the Cigna Open Access Plus Network
- Tier 3 out-of-network provider
Call 800-247-4433.

Mail-Order Benefits at a Glance

Here’s a look at what you’ll pay for up to a 90-day mail-order supply. For Cigna Pharmacy Network, you can also pick up your prescription at a nearby network pharmacy and you’ll pay the same cost as for home delivery. (At CVS pharmacies, you can only get a 30-day supply.)

	Parkland Mail Order¹	Cigna Pharmacy Home Delivery
Deductible	Combined with medical deductible: $3,500 individual/$7,000 family	Combined with medical deductible: $3,500 individual/$7,000 family
Generic	$25 copay after deductible	$30 copay after deductible
Preferred Brand	$50 copay after deductible	$135 copay after deductible
Non-Preferred Brand	$100 copay after deductible	$225 copay after deductible

¹ Requires a prescription written by a Tier 1 Parkland provider at a Parkland facility. The Parkland mail-order service is intended for 90-day supply prescriptions only. To obtain a 30-day supply of medication, you will need to go to a Parkland or retail pharmacy. For 90-day supply prescriptions written by other providers, use Cigna Pharmacy Home Delivery service. Prescriptions written by a Children’s Medical Center provider must be filled through Cigna Pharmacy Home Delivery.

Specialty Drugs

You must obtain all specialty drugs through Parkland’s pharmacies or the Cigna Pharmacy Specialty Network. Specialty drugs are generally injectable, infused, oral or inhaled drugs that require close supervision and monitoring. The PEHP formulary (the Cigna National Preferred Prescription Drug List) includes hormone therapy drugs for a diagnosis of gender dysphoria.

Your physician must submit a prior authorization for approval from the PEHP before the medication will be covered.

After you meet the medical deductible, here’s a look what you’ll pay for a 30-day or 90-day supply of specialty drugs.

Specialty Drugs	Parkland Pharmacy	Non-Parkland Pharmacy (Cigna Pharmacy Specialty Network)
Deductible	Combined with medical deductible: $3,500 individual/$7,000 family	Combined with medical deductible: $3,500 individual/$7,000 family
30-day supply	20% coinsurance ($100 maximum) after deductible	25% coinsurance ($150 maximum) after deductible
Up to a 90-day supply	20% coinsurance ($250 maximum) after deductible	Home delivery only: 25% coinsurance ($150 maximum) after deductible
Out of Network	100% (not covered)	100% (not covered)

Frequently Asked Questions

How are preventive drugs covered under the HDHP?

Certain preventive drugs are covered at 100% with no deductible. See the list here.

Does the deductible apply to prescription drugs?

Yes. For the HDHP, you pay the full cost for prescriptions until you meet the medical deductible (except for certain preventive drugs). After you meet the medical deductible, you and the plan share costs.

Compare Your Pharmacy Options

See how your prescription drug benefits compare under the PPO and HDHP.

PPO

With the PPO, you pay copays or coinsurance for prescriptions.

HDHP With HSA

With the HDHP with HSA, you pay the full cost for prescriptions until you meet the medical deductible. After you meet the medical deductible, you pay copays or coinsurance for prescriptions.