Active Health Summary Plan Description
As of September 1, 2017
En Español (PDF)

8.2 Mail Service Pharmacy Plan (Citizens Rx)

(For Maintenance Medications Only)

Generic Drug: $0 Co-payment per Prescription for up to a 100-day supply

Brand-Name Drug: $20 Co-payment per Prescription for up to a 100-day supply

A Mail Service Prescription Drug Plan is available for maintenance medications. Maintenance medications are prescribed for such conditions as high blood pressure, diabetes, heart disease, ulcers, arthritis and other chronic conditions. You may obtain up to a 100-day supply of a maintenance medication drug for your $0 Generic or $20 Brand-Name co-payment (when there is no generic equivalent for the brand-name drug). Maintenance prescription drugs will be mailed directly to your home by Citizens Rx. Your prescription should arrive within seven (7) working days after your order is received at the Citizens Rx Mail Service Pharmacy. Citizens Rx pays all mailing expense for standard deliveries.

Your co-payment can be paid by check, money order, or credit card. Your prescription can be sent in a pre-printed envelope supplied by Citizens Rx and your medication will be delivered to your home within seven (7) working days after your order is received. You can order refills over the Internet at www.citizensrx.com or by phone by calling (877) 532-7912. You may also call this toll-free number to ask any questions or raise any concerns you may have regarding your prescription.