PARTICIPATING PHARMACY The Rx Program has a network of participating retail pharmacies. You can find a local retail pharmacy by visiting www.TrueScripts.com and navigating to the Pharmacy Locator section or by calling TrueScripts at (844) 257-1955. Participating Providers will change, so you should check the above website or contact TrueScripts at the above phone number prior to obtaining pharmacy services or products. DESIGNATED PHARMACY If you require certain prescription drugs, TrueScripts may direct you to a designated pharmacy with which it has an arrangement to provide those prescription drugs. These drugs are listed on the formulary that can be found at www.truescripts.com or by calling TrueScripts at (844) 257-1955. REIMBURSEMENT LEVELS Benefits for eligible drugs are available for prescription drugs that are considered a covered expense as set forth in this document. The Rx Program pays benefits at different levels based upon prescription drug tiers as described below, subject to other exclusions described later in this summary. All prescription drugs covered by the Rx Program are categorized into these tiers on the Preferred Drug Formulary. The tier status of a prescription drug can change periodically, as frequently as monthly, based on TrueScripts’ P & T Management Committee’s periodic tier decisions. When that occurs, you may pay more or less for a prescription drug, depending on its tier assignment. Since the Preferred Drug Formulary may change periodically, for the most current information, call TrueScripts at (844)-257-1955. See the separate section below for Specialty Drugs. Each tier is assigned a reimbursement level which is the amount the Rx Program pays. You will also pay a copay/coinsurance when you visit the Pharmacy. As an example, here is how the tier system works with 3 tiers: Tier 1 • Description: This tier includes many commonly prescribed generic drugs and may include other lower-cost drugs. • Helpful Tips: Use Tier 1 drugs for the lowest out-of-pocket amount. Tier 2 • Description: This tier includes preferred brand-name drugs as well as some generic drugs. • Helpful Tips: Tier 2 drugs will generally have a lower out-of-pocket than Tier 3 drugs. Tier 3 • Description: This tier includes non-preferred brand-name drugs as well as some generic drugs. • Helpful Tips: Tier 3 drugs generally have the highest out-of-pocket cost. Ask your doctor if switching to an alternative drug from Tier 1 or Tier 2 may be right for you. You are responsible for your deductible, if any, or paying the lowest of: Huntington County Community Schools Prescription Benefits Program SPD January 1, 2025 Page 3 of 15