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All Hy-Vee Pharmacies and Hy-Vee Drugstore pharmacies are Preferred Pharmacies in cities/towns where there is a Hy-Vee Pharmacy or Drugstore; all other pharmacies in that city/town will be considered as Non-Preferred Pharmacies.
If there is not a Hy-Vee Pharmacy or Drugstore, all pharmacies that contract with Catalyst Rx will be considered Preferred Pharmacies. For questions regarding your prescription coverage, contact Wellmark customer service at 1-800-233-6282.
The following drug benefits apply to prescription plans with the Blue Access 500, Alliance Select 500 & Alliance Select 1200. This does not apply to the H.S.A. drug plan.
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Generic |
Preferred Brand |
Non-Preferred Brand |
| Preferred Pharmacy Copay |
$8 |
Lesser of $40 or 30% |
Lesser of $75 or 50% |
| Non-Preferred Pharmacy Copay |
100% of purchase price |
100% of the purchase price |
100% of the purchase price |
The cost of your prescription drugs is not covered through your medical coverage program. The medical coverage program will not reimburse you for the copay amount you paid and the amount you paid will not apply to your annual medical deductible or to your annual medical out-of-pocket expense maximum.
Specialty Drug Benefits
The following specialty drug benefits apply to prescription plans with the Blue Access 500, Alliance Select 500 & Alliance Select 1200. This does not apply to the H.S.A. drug plan.
- Specialty Drug List (pdf) — Drugs on the top tier (self administered drugs) are subject to a $85 copay when received from Hy-Vee Pharmacy or a Wellmark Preferred Specialty Vendor. These drugs are otherwise subject to 50% coinsurance.
The other two tiers (self and/or office administered, or office administered) pay subject to applicable copay, coinsurance or deductible depending upon the place of service billed.
2500 Plan Only
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