Florida Prescription Drug Benefit Overview

2024 – Palm Beach County Drug Benefits

Standard Retail Cost-Sharing — 30-day Supply

	Plus Plan	Dual Plan
Prescription Drug Deductible	No Deductible	No Deductible
Tier 1: Preferred Generic	$0	$0
Tier 2: Generic	$0	$0
Tier 3: Preferred Brand	$20	$0
Tier 4: Non Preferred Drugs	$97	$0
Tier 5: Specialty Drugs	33%	$0
Tier 6: Specialty Drugs	$0	$0
Gap Coverage	Tiers 1, 2 & 6	$0

Prescriptions are also available in a 100-day supply at two copays, and through mail order.

Standard Retail Cost-Sharing — 30-day Supply

Prescription Drug Deductible
No Deductible

Tier 1: Preferred Generic
$0

Tier 2: Generic
$0

Tier 3: Preferred Brand
$20

Tier 4: Non Preferred Drugs
$97

Tier 5: Specialty Drugs
33%

Tier 6: Specialty Drugs
$0

Gap Coverage
Tiers 1, 2 & 6

Prescription Drug Deductible
No Deductible

Tier 1: Preferred Generic
$0

Tier 2: Generic
$0

Tier 3: Preferred Brand
$0

Tier 4: Non Preferred Drugs
$0

Tier 5: Specialty Drugs
$0

Tier 6: Specialty Drugs
$0

Gap Coverage
N/A

Prescriptions are also available in a 100-day supply at two copays, and through mail order.

Standard Retail Cost-Sharing — 30-day Supply

	Prominence Plus Plan	Prominence Dual Plan
Prescription Drug Deductible	No Deductible	No Deductible
Phase 1: Initial Coverage Tier 1 (Preferred Generic)	You pay $0	You pay $0
Tier 2 (Generic)	You pay $0	You pay $0
Tier 3 (Preferred Brand)	You pay $20	You pay $0
Tier 4 (Non-Preferred Drugs)	You pay $97	You pay $0
Tier 5 (Specialty Drugs)	You pay 33%	You pay $0
Tier 6 (Selected Drugs)	You pay $0	You pay $0
Phase 2: Coverage Gap Tier 1, 2 and 6	Drugs are covered in the gap	You pay $0
Tiers 3, 4 and 5	N/A	You pay $0

Mail Order — 100-day Supply

	Prominence Plus Plan	Prominence Dual Plan
Prescription Drug Deductible	No Deductible	No Deductible
Phase 1: Initial Coverage Tier 1 (Preferred Generic)	You pay $0	You pay $0
Tier 2 (Generic)	You pay $0	You pay $0
Tier 3 (Preferred Brand)	You pay $40	You pay $0
Tier 4 (Non-Preferred Drugs)	You pay $281	You pay $0
Tier 5 (Specialty Drugs)	Not available	Not available
Tier 6 (Selected Drugs)	You pay $0	You pay $0
Phase 2: Coverage Gap Tier 1, 2 and 6	Drugs are covered in the gap	You pay $0
Tiers 3, 4 and 5	N/A	You pay $0

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Last update 9/1/2022