Example Medication Cost Scenarios

Synchrony Pharmacy, opening April 1, 2021, will provide Trilogy medical plan enrollees low cost prescriptions delivered direct to their home. The below medication cost out chart provides example medications from the three pharmacy cost tiers. Example costs are displayed for all medical plan options, and detail the cost savings realized by utilizing Synchrony Pharmacy vs. community retail pharmacies.
Plan NameTraditional PPOSmart Choice Plan Spouse / Family
Preventative 30-Day SupplySynchronyRetailSynchronyRetailSynchronyRetail
Atorvastatin 20mg (Tier 1) $4$15$4$15$4$15
Eliquis 5mg (Tier 2)$35 $45$30$40$30$40
Basaglar Kwikpen 100u (Tier 3)$55$65$50$60$50$60