Pharmacy

Pharmacy

Your prescription drug coverage is included automatically when you enroll in a Gong medical plan.

If you enroll in the Cigna HDHP or Cigna PPO, your prescriptions are administered by Express Scripts. If you enroll in a Kaiser HMO plan, prescriptions are filled through Kaiser Permanente pharmacies.

You typically pay the lowest cost when you fill a 30-day supply at an in-network retail pharmacy or a 90-day supply through mail order. Generic medications offer the greatest savings — ask your doctor if a generic option is appropriate for you.

Your guide

Choose your medical plan

Expand your plan to review retail, mail-order, and online pharmacy access.

Prescription planCigna HDHP — Express Scripts

Prescriptions are subject to the medical plan deductible. Once you've met your deductible, you pay the copays below. Out-of-network prescriptions are not covered.

Retail Rx (Up to 30-Day Supply)

Generic
$10 after deductible
Preferred Brand
$35 after deductible
Non-Preferred Brand
$70 after deductible

Mail-Order Rx (Up to 90-Day Supply)

Generic
$20 copay after deductible
Preferred Brand
$70 copay after deductible
Non-Preferred Brand
$140 copay after deductible
Prescription planCigna PPO — Express Scripts

Copays apply at the point of sale — no deductible required. Out-of-network prescriptions are not covered.

Retail Rx (Up to 30-Day Supply)

Generic
$15 copay
Preferred Brand
$35 copay
Non-Preferred Brand
$70 copay

Mail-Order Rx (Up to 90-Day Supply)

Generic
$30 copay (deductible does not apply)
Preferred Brand
$70 copay (deductible does not apply)
Non-Preferred Brand
$140 copay (deductible does not apply)
Prescription planKaiser HMO (CA) — Kaiser Pharmacy

Fill prescriptions at any Kaiser Permanente pharmacy in California or through Kaiser's mail-order service.

Retail Rx (Up to 30-Day Supply)

Generic
$10
Preferred Brand
$35
Specialty
20% coinsurance with $150 max

Mail-Order Rx (Up to 90-Day Supply)

Generic
$20
Preferred Brand
$50
Prescription planKaiser HMO (HI) — Kaiser Pharmacy

Fill prescriptions at any Kaiser Permanente pharmacy in Hawaii or through Kaiser's mail-order service.

Retail Rx (Up to 30-Day Supply)

Generic
$10
Preferred Brand
$35
Non-Preferred Brand
$35
Specialty
$200

Mail-Order Rx (Up to 90-Day Supply)

Generic
$20
Preferred Brand
$70
Non-Preferred Brand
$70
Specialty
Not covered
Helpful pharmacy tips

Helpful tips

  • Cigna members: register at express-scripts.com to order refills, set up home delivery, and check pricing before you fill.
  • Kaiser members: manage refills and request mail order through kp.org or the Kaiser Permanente app.
  • Ask your prescriber to send 90-day prescriptions to mail order for maintenance medications — it's usually cheaper than three 30-day refills.
  • Specialty medications may require prior authorization. Check with your pharmacy benefit manager before your first fill.