Navigation

Changes to Prescription Drug Coverage

Medco, the prescription drug benefit plan provided by New Mexico Public Schools Insurance Authority (NMPSIA) has implemented the following changes, which went into effect July 1.

Aug 30, 2016

Medco, the prescription drug benefit plan provided by New Mexico Public Schools Insurance Authority (NMPSIA) has implemented the following changes, which went into effect July 1. If you regularly fill prescriptions at Walgreens, take note that copayments will be higher. You can transfer your prescription from Walgreens to another retail pharmacy to save money, or use the Medco Mail Order Program.

Generic Drugs
— Copayments are $3 for a 30 day supply at retail non-Walgreens participating pharmacies (formulary diabetic medications/supplies will remain $0 at these non-Walgreens pharmacies).
— Copayments are $8 at Walgreens pharmacies (copays for diabetic medications/supplies will be charged at Walgreens pharmacies).
— Copayments are $7.50 for Medco Mail Order for a 90-day supply (formulary diabetic medications/supplies will remain $0 at mail order).

Brand-Name Formulary Drugs
— 30 percent of the discounted cost with a minimum out-of-pocket cost of $18 and maximum of $50 at retail non-Walgreens participating pharmacies (formulary diabetic medications/supplies will remain $0 at these non-Walgreens pharmacies)
— 30 percent of the discounted cost with a minimum out-of-pocket cost of $23 and maximum of $55 at Walgreens pharmacies (copays for diabetic medications/supplies will be charged at Walgreens pharmacies)
— Copayments are $45 at Medco Mail Order for a 90-day supply (formulary diabetic medications/supplies will remain $0 at mail order)

Specialty Drugs
— Copayments are $100 for a 30-day supply. After you pay $1,000 in specialty copays for the calendar year (Jan. 1 – Dec. 31), your copays for these specialty drugs will be reduced ($7.50 generic; $45 preferred; 70 percent non-preferred) for the remainder of the calendar year.

If you have questions, call Human Resources at (505) 224-4600.