NJ State Retiree Prescription Copays Reduced

The State Health Benefits Design Committee reached an agreement that copays will be reduced or eliminated depending on the classification of the drug and the type of plan in which the member is enrolled for the period from July 1, 2015 through December 31, 2015 and will return to 2012 rates as a baseline for negotiating new plans for 2016. The committee, which is made up of representatives of both labor and management, successfully sued to challenge increases imposed by the State. AFTNJ joined the suit.

For the period from July 1, 2015 through December 31, 2105 copays for $10 and $15 copay plans will be:

Tier Retail Mail (3 Months)
Generic $0 $0
Name Brand $3 $3
Non Preferred $11 $11

For the $10 HMO Plans:

Tier Retail Mail (3 Months)
Generic $1 $1
Name Brand $6 $6
Non Preferred $17 $17

The maximum out of pocket will be $1,351 per person which is the 2012 rate will apply for 2015.

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