Blue Rx^SM

There are two Blue Rx options

• Blue Rx 3-Tier Plans

If you have "Blue Rx3," you are enrolled in a three-tier plan. How much you pay for a prescription depends upon what tier the drug is in. The higher the tier number, the higher your copayment or coinsurance.

• Blue Rx

If you have "Blue Rx," you are enrolled in a two-tier plan. How much you pay for a prescription depends upon whether the drug is generic or brand name. Your lowest copayment or coinsurance is for generic drugs. Your higher copayment or coinsurance is for brand name drugs.

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Wellmark Blue Cross and Blue Shield is an Independent Licensee of the Blue Cross and Blue Shield Association doing business in Iowa and South Dakota. Blue Cross®, Blue Shield®, and the Cross® and Shield® symbols are registered marks of the Blue Cross and Blue Shield Association, an Association of Independent Blue Cross and Blue Shield Plans.