PPO Plan In-Network Out-of-Pocket Maximum Integrated with medical plan Generic (Retail) 20% coinsurance ($15 min / $40 max) Preferred (Retail) 40% coinsurance ($65 min) Non-Preferred (Retail) 50% coinsurance ($100 min) Generic (Mail-order) 20% coinsurance ($15 min / $40 max) Preferred (Mail-order) 40% coinsurance ($65 min) Non-Preferred (Mail-order) 50% coinsurance ($100 min) *Specialty Medications (Through Archimedes) $250 *Specialty medications are not available through Caremark, but through Archimedes. Use their member portal to create an account or call 888-504-5563 to get started with an order.