Find the Exact Cost of Your Drugs

Find out the cost of a medication before you get to pharmacy by using the Drug Cost Preview tool:

  1. Go to the Navitus ETF Benefits website.
  2. Select your health plan design.
  3. Select Drug Cost Preview in the left menu.

You can also compare the cost of your drugs at multiple pharmacies to find the best price. See the Navitus Member Portla Guide page to learn more.

Breakdown of Your Pharmacy Costs

Each covered prescription drug falls into one of four cost-sharing levels. The lower the level, the less you pay. The table below shows how much you will pay for drugs in each level and the maximum amount you will pay for covered drugs each year.

You must fill your prescriptions at an in-network pharmacy. Find an in-network pharmacy. In-network pharmacies are available nationwide.

Please note that if you are changing your health insurance coverage from IYC/Traditional or HDHP to Medicare Part D the coverage and requirements for some drug may change. Check the MedicareRx Plan formulary at Navitus's ETF Benefits to see how your drugs will be covered.

  Medicare Part D

Prescription Deductible

None

Prescription Copay / Coinsurance

Level 1 

 

Up to $5

Level 2 

20% ($50 max)

Level 3 

40% ($150 max)

Level 4 

$50 copay1 (If filled at Lumicera Specialty Pharmacy or UW Specialty Pharmacy.)

Preventive prescription copay

$0 - Plan pays 100%, regardless of deductible, as federally required

Prescription Out-Of-Pocket Limit

Levels 1 & 2 

Individual / Family

 

$600 / $1,200

Level 3

Individual / Family

$8,700 / $17,400

Level 4 

Individual / Family

$1,200 / $2,400

1Price if you fill at Lumiceria speciality pharmacy or UW Health Speciality Pharmacies. If you do not fill at one of these pharmacies, you will pay 40% ($200 max). The amounts paid will not apply to the Level 4 OOPL, rather, to a federal limit of $8,700 individual / $17,400 family.