Pharmacy

Your plan options include coverage of prescription drugs. Learn more about how your pharmacy benefits work using the resources below.

Once you’re a member, log in to mymedica.com and you’ll be able to see pharmacy information specific to your benefits, including pricing and ways to save on your prescriptions. 

What Drugs are Covered?

Covered drugs are shown on the Medica drug list. The list includes both brand-name and generic drugs, and is reviewed and updated regularly by a group of independent physicians and pharmacists. Your doctor can use this list to choose medications that are right for you.

» View the drug list.

How Much Will My Prescriptions Cost?

The drug list is divided into three groups, which determine your share of the costs (generic, preferred brand and non-preferred brand). Generic drugs have the lowest copayment or coinsurance.

Learn more about your pharmacy benefits below and in the Plan Options section or log on to mymedica.com.

$2,500 Choice with UHC PPO Plan, $2,500 Elect Plan, $2,500 Park Nicollet First Plan, $2,500 VantagePlus Plan

Generic drugs (in-network)
Retail: $10/prescription. Deductible does not apply.
Mail order: $20/ prescription for a three-month supply. Deductible does not apply.

Preferred brand drugs (in-network)
Retail: $35/prescription. Deductible does not apply.
Mail order: $70/ prescription for a three-month supply. Deductible does not apply.

Non-preferred brand drugs (in-network)
Retail: $50/prescription. Deductible does not apply.
Mail order: $100/ prescription for a three-month supply. Deductible does not apply.

Specialty drugs (in-network)
Preferred: 20% coinsurance. No more than $200 copay/prescription. Deductible does not apply.
Non-preferred: 30% coinsurance. Deductible does not apply.

Copay Choice with UHC PPO Plan

Generic drugs (in-network)
Retail: $10/prescription. Deductible does not apply.
Mail order: $20/ prescription for a three-month supply. Deductible does not apply.

Preferred brand drugs (in-network)
Retail: $20/prescription. Deductible does not apply.
Mail order: $40/ prescription for a three-month supply. Deductible does not apply.

Non-preferred brand drugs (in-network)
Retail: $35/prescription. Deductible does not apply.
Mail order: $70/ prescription for a three-month supply. Deductible does not apply.

Specialty drugs (in-network)
Preferred: 20% coinsurance. No more than $200 copay/prescription. Deductible does not apply.
Non-preferred: 30% coinsurance. Deductible does not apply.

How Do I Fill My Prescriptions?

You have access to more than 64,000 pharmacies nationwide - including chain pharmacies (Walgreens, CVS Pharmacy, etc.) and neighborhood pharmacies.

» Find a pharmacy.

Many plans offer mail order for filling ongoing prescriptions. With this option, you receive a 90-day supply of your medication through the mail, with no shipping or handling fees.

» Learn more about mail order.

How Do I Get a Specialty Drug?

Specialty drugs are used to treat certain complicated health problems. These drugs tend to be very expensive and may need special handling and monitoring. For most specialty medications, you'll use Accredo Specialty Pharmacy, our preferred Specialty Drug Program vendor, to fill your prescriptions.

If you have questions about specialty drugs, please contact Medica Customer Service at 952-945-8000 or 800-952-3455.

» View the specialty drug list.
» Learn more about specialty drugs (select Specialty Drugs from the tabbed menu).

Where Can I Find More Pharmacy Resources?

Learn more about your pharmacy benefits including:

  • What's the difference between brand-name drugs and generic drugs?
  • Does the drug list ever change?
  • What are drug quantity limits?
  • What is a specialty drug?
  • What is Step Therapy?
  • What is Prior Authorization?
  • What if I need a drug that's not on the drug list?
  • Can I appeal if an exception request is denied?

» Learn more about your pharmacy resources (select Frequently Asked Questions from the tabbed menu).

Enrollment Instructions

To enroll, log in to Employee Self Service (using a computer inside the City network) to enroll.

You'll need your City network (Active Directory, username and password.

mymedica.com

Once your plan starts, register on mymedica.com to manage your health plan. Order ID cards, find out what's covered, track your claims and more!

Visit mymedica.com

Additional Benefits from the City of Saint Paul

The City of Saint Paul offers a variety of non-medical employee benefits.

» Learn more about non-medical employee benefits.