PPO HDHP Retail Prescriptions (34-Day Supply): $8 $8 Generic Retail Prescriptions: 30% or $40 (greater of)* 30% or $40 (greater of)* Preferred Retail Prescriptions: 50% for $60 (greater of)* 50% for $60 (greater of)* Non-Preferred Mail Order Prescriptions (90-Day Supply): $12 $12 Generic Mail Order Prescriptions: 30% or $80 (greater of)* 30% or $80 (greater of)* Preferred Mail Order Prescriptions: 50% or 120 (greater of)* 50% or 120 (greater of)* Non-Preferred * If brand name drug purchased when generic drug available and approved by physician, covered person will be responsible for the applicable brand copayment plus the difference in the cost of the generic and the brand name drug purchased.