Whether your prescriptions are filled at your local pharmacy or dispensed directly from your doctor or hospital's outpatient department, your Basic Option pharmacy benefits will have you covered.

Basic Option features three levels of benefits. In most situations, you will pay the lowest copayment for any generic medicine and a mid-level copayment for cost-effective, Preferred brand name medicines. The highest copayment level applies to situations where you may be prescribed Non-formulary, Non-preferred brand name medicines.

2010 Basic Option — Prescription Drug Coverage

Here's how your prescription drug benefits work for up to a 34-day supply of medicine. A 90-day supply is available for three copayments.

Level 1	Level 2	Level 3
Generic Medicines	Preferred Brand - Name Medicines	Non-Preferred Brand Name Medicines
Up To $10	Up To $35	50%*

Immunizations

Benefit Description	You Pay
Influenza Vaccine Benefit Influenza (one each flu season) and pneumococcal vaccines* H1N1 Influenza (Swine) vaccines*	No additional cost to you If administered at a non-preferred provider: One seasonal and H1N1 vaccine per flu seasons at no additional cost to you, but members are responsible for any difference between Plan allowance and billed amount.
Routine immunizations [as licensed by the U.S. Food and Drug Administration (FDA)], limited to: Hepatitis immunizations (Types A and B) for patients with increased risk or family history Herpes Zoster (shingles) vaccines* Human Papillomavirus (HPV) vaccines* Meningococcal vaccines* Tetanus-diphtheria (Td) booster — once every 10 years	No additional cost to you when provided by a Preferred retail pharmacy that participates in our vaccine network and administered in compliance with applicable state law and pharmacy certification requirements

* With a minimum copayment of $45 or the cost of the medicine. You pay 50% of the medicine's cost when the price of the drug is $90 or greater. If the cost of the medicine is less than $90, you pay either a $45 copayment or the cost of the medicine, whichever is less.

Managing medication costs

To learn more about how to fill your prescriptions and make the most of your prescription benefits, visit the Pharmacy section of this Web site. Information about your prescription benefits is also available in your 2010 Service Benefit Brochure (RI 71-005).