Prescription Drug Benefits

Your Employee Self Service

You can manage your information at home by logging into Employee Self Service through Remote Access.

Remote Access

You will automatically be provided with prescription drug coverage when you elect any of the medical plan options. For the NHRMC Plan and the Standard Plan, the rates shown in the chart below will apply to all prescription drug purchases. To obtain a listing of the participating pharmacies, generic equivalents and drug tier levels, go to

Mandatory Generic Drug Policy

Many prescription drugs are available as both a brand name drug and a generic name drug. By law, generic drugs must meet the same standards for safety and effectiveness as brand name drugs. Obtaining generic drugs whenever possible can provide you with direct savings because you pay a lower co-pay. It also provides you with indirect savings because you save the plan money, which ultimately benefits you.

When you have a prescription filled, you will receive a generic substitute whenever possible. If there is not a generic equivalent available, tier pricing will apply. If you choose to receive the brand name drug and a generic equivalent is available, you will pay the difference between the full cost of the generic and the brand-name drug, plus the tier co-pay.

Prescription Drug Benefits

Any BCBSNC In-Network Pharmacy

  • Tier 1 30‐Day Supply $4
  • Tier 2 30‐Day Supply $20
  • Tier 3 30‐Day Supply $40
Mandatory Mail Order Maintenance Medications** Prescription Drug 90-Day Supply
Tier 1 90-Day Supply co-pay at 2 1/2 times ($10)
Tier 2 90-Day Supply co-pay at 2 1/2 times ($50)
Tier 3 90-Day Supply co-pay at 2 1/2 times ($100)


PrimeMail is our new mail order pharmacy for maintenance prescriptions. If a member chooses to fill their maintenance prescriptions at an in‐network pharmacy rather than through PrimeMail, after two 30‐day refills, they will pay a $20 penalty on each subsequent 30‐day supply.

NHRMC Outpatient Pharmacy

You may purchase over-the-counter medicine at highly discounted rates, including ibuprofen, acetaminophen, antihistamine, cough medicine and smoking cessation aids.