UHA Better Health • Better Life

QUESTIONS?
Call Member Services
(808) 532-4000
Toll-free: 1-800-458-4600

Prescription Drug Benefits

We offer a variety of prescription drug plans, and will work with you to find the one that best fits your needs. Listed in the matrix below are three of our most common drug plans.

Contact Account Services for assistance in choosing your prescription drug plan.

Prescription Drug Co-payment Matrix

  Drug plan m drug plan q drug plan p
Annual Maximum No Max No Max No Max
Generic $5.00 $7.00 $7.00
Preferred Brand $10.00 $15.00 $20.00
Non-Preferred Brand $25.00 $30.00 $40.00
All Drugs Over $125.00 20% of EC NA NA
All Drugs Over $150.00 20% of EC 20% of EC NA
All Drugs Over $200.00 20% of EC 20% of EC 20% of EC
       

EC = Eligible Charge. Refer to your Medical Benefits Guide for detailed definition.

The information above is intended to provide a condensed explanation of UHA drug plan benefits. Please refer to the appropriate drug plan rider certificate for complete information on benefits and provisions. In case of a discrepancy between the comparison and the language contained in the applicable rider certificate, the applicable rider certificate will take precedence.