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BENEFIT TRS-ACTIVECARE HDDrug Deductible(per person, per plan year)Integrated with medicalMOOP Integrated with medicalShort-Term Supply (up to a 31-day supply)Generic20% coinsurance after deductible, $0 for certain generics before the deductiblePreferred Brand 25% coinsurance after deductibleNon-Preferred Brand 50% coinsurance after deductibleInsulin Out-of-Pocket Cost 25% coinsurance after deductibleLong-Term Supply (61- to 90-day supply)Generic20% coinsurance after deductible, $0 for certain generics before the deductiblePreferred Brand 25% coinsurance after deductibleNon-Preferred Brand 50% coinsurance after deductibleFormulary Insulin Out-of-Pocket Cost25% coinsurance after deductibleSpecialty Medications through Accredo (up to a 31-day supply)Specialty Medications (31-day max supply)20% coinsurance after deductiblePrescription Answers and Information Online 24/7 Once you enroll in TRS-ActiveCare, register with Express Scripts at www.express-scripts.com/trsactivecare. Log in anytime to fill or refill long-term prescriptions, find drug coverage and price information, talk with a registered pharmacist, view your prescription history, download the Express Scripts app and much more.Save Money with Mail OrderYou can avoid paying this convenience fee if you fill your long-term maintenance drugs (up to a 90-day supply) with Express Scripts.Prescription Drug Benefits Summary Diabetic Meter and SuppliesMETER AND SUPPLIES TRS-ACTIVECARE HDPreferred Brand Blood Glucose Meter $0SuppliesCopays waived for all needles, lancets and syringes, regardless of the brand. To receive test strips at no cost, you must use the preferred brand. Coinsurance applies after deductible.30 www.bcbstx.com/trsactivecare