Medica offers different pharmacy options for consumers. Select the option below that best fits either your current plan, the plan offered by your employer or the plan you want. You can then search to see if your prescriptions are included on the Medica Preferred Drug List (PDL). You can also compare estimated costs for similar drugs.

Drug Benefit Options

3 Tier Copay
With this benefit, you pay a copay, or fixed dollar amount, for your prescription drugs. You will receive a better benefit if you are taking a drug on the Preferred Drug List.  For example, copays for generic drugs that are on the Preferred Drug List are typically $11, brand name drugs that are on the PDL are typically $40, and drugs that are not on the preferred drug list are typically $65.  Any drugs that are on the Specialty Drug List are typically a 20% coinsurance with a $200 maximum.

Search using the 3 Tier Copay benefit.

Coinsurance
With this benefit, prescription drugs must be on the Medica preferred drug list in order for you to receive any coverage.  You pay a percentage coinsurance for drugs that are on the Preferred Drug List.  For example, you will pay a 25% coinsurance for drugs on the Preferred Drug List. Any drugs that are on the Specialty Drug List may be a 25% coinsurance with a $200 maximum.  There is no coverage for drugs that are not on the PDL.

Search using the Coinsurance benefit.

If you're not sure whether your plan offers these benefit options, check your prescription drug benefit materials, or contact Medica Customer Service. Existing Medica members can call the number on the back of your ID card or access personalized health care and benefit information through mymedica.com. If you are not a current Medica member, please call our general customer service at 952-945-8000 or 1-800-952-9455. Customer service is available Monday - Friday 7 a.m. - 6 p.m.