Prescription Plan

All medical plan participants have prescription drug coverage based on their selected plan. A way to save money is by requesting generics and/or mail order options when available.

The prescription drug coverage in the Enhanced and Standard PPO plans has a separate prescription out-of-pocket (OOP) maximum.

Prescriptions on the high deductible health plan are subject to deductible and co-insurance. There are not co-pays on that plan, which means until you’ve met the annual deductible you’ll have to pay the full network discounted amount of that drug. Please review the full cost of any prescriptions you currently take on the TrueScripts member portal so that you understand your costs prior to meeting the deductible.

Your out of pocket costs for prescription drugs will vary depending on which medical plan you select.  But the list of covered and excluded drugs is the same on all 4 plans.

The pharmacy prescription administration moved from OptumRx to TrueScripts beginning January 1, 2026. Please listen to the webinar below for an overview of their services.

BGDC 2026 TrueScripts Pharmacy Benefit Introduction Webinar

TrueScripts Portal Enrollment Flyer

TrueScripts Prescriptions

Set up your online account

Once registered on memberportal.truescripts.com, access the pharmacy section to:

  • Manage your home delivery medications
  • Set up email or text message reminders
  • Check your order status

Making medication decisions

Use the TrueScripts prescription drug list

Once you’ve received your 2026 UMR/TrueScripts ID card, you can register on the TrueScripts member portal and view detailed information regarding the drug formulary, preventive drug list, and use the drug price lookup tool to help you find the best price for your medications.

 

Cost Tier Includes Helpful Tips
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Tier 1 – Lowest cost
Lower-cost medications. Some brand-name medications. In most cases, Tier 1 medications have the lowest cost. Consider generic options which may also help you save.
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Tier 2 – Mid-range cost
Mix of brand-name and generic medications. Tier 2 drugs may cost less than Tier 3 drugs.
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Tier 3 – Highest cost*
Highest-cost brand-name medications and some generic medications. Many Tier 3 medications have lower-cost options in Tiers 1 or 2. Ask your doctor if they could work for you.

*High-cost specialty medications fall into Tier 4.

Save Money
In most cases, generic medications have a lower copay than brand-name medications. Ask your doctor if there is a generic alternative for you.

Compare Prices
Log in at https://memberportal.truescripts.com to use their Drug Price Lookup tool.

TrueScripts BGDC Welcome Letter
BGDC Commonly Asked Questions
Bronze Preventive Drug List 2026
BGDC Maximize your savings - best practices

Video: Prescription Drug Benefits

Video: Managing RX Costs