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Prescriptions

Prescription Drug Formulary

Covered medications by tier, so you know your copay before you fill a prescription.

How your Rx copay works

Every covered medication falls into one of four tiers. Find your drug below to see its tier and copay. Coverage is limited to this formulary — there's no coverage for non-preferred or specialty drugs, and no out-of-network prescription coverage. Preventive medications are covered at no cost as required by law.

Tier 1
$15
Tier 2
$30
Tier 3
$50
Tier 4
$75

Present your medical card with your prescription at any of our 60,000+ retail pharmacies (PureRx) to fill it. Covers 5,624 medications across 212 drug categories.

Find your medication

No medications matched your search. Try a shorter or different spelling, or ask us and we'll look it up for you.

Can't find your medication, or have a question about your coverage? An Indie Healthcare benefits specialist can help — no phone tree.