MESSA ABC PRESCRIPTION PLANS
MESSA ABC with 5-Tier Rx
MESSA ABC and MESSA Balance+ health plans include coverage for Free Preventive Prescriptions
MESSA BALANCE+ PRESCRIPTION PLAN
MESSA Balance+ Rx
MESSA CHOICES PRESCRIPTION PLANS
MESSA Choices with 5-Tier Rx
ESSENTIALS BY MESSA PRESCRIPTION PLAN
MANDATORY MAIL
MESSA Saver Rx and MESSA ABC Rx: $10 copayment for over-the-counter medications
A $10 copayment is available for up to a 34-day supply of certain over-the-counter (OTC) medications used to treat heartburn and seasonal allergies. A prescription for the OTC drug is required and must be presented and filled at the pharmacy counter in order to be covered. The member pays only the $10 copayment and the pharmacy will bill the remaining costs to their health plan.
OTC drugs covered by the $10 copayment are:
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- Allegra®
- Allegra-D®
- Claritin®
- Claritin-D®
- Prevacid®
- Prilosec®
- Zyrtec®
- Zyrtec-D®
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This list is current as of June 2024 but may be updated over time due to market changes.
Patients cannot combine a coupon or other manufacturer offer with over-the-counter drugs covered by the $10 copayment.
MESSA ABC Rx Coverage: $2 Generics List
MESSA ABC plans cover hundreds of free preventive prescriptions at no charge to the member — no copayment and no deductible.
Additionally, MESSA ABC plans cover more than 20 generic drugs with a copayment of just $2 once the plan deductible is met. That means members pay the full cost of the prescription until they satisfy their in-network deductible. Once a member satisfies the in-network deductible, additional out-of-pocket costs are limited to prescription drug copayments (MESSA ABC Plans 1 & 2) or prescription copayments and 10% coinsurance on in-network medical services (MESSA ABC Plan 3). With all three plans, if you reach the in-network out-of-pocket cap, your prescriptions and all in-network medical services, including office visits and hospital charges, are fully covered at 100% by your MESSA ABC health plan for the remainder of the calendar year.
For more information on covered free preventive prescriptions, $2 generics and other copayment requirements, contact MESSA’s Member Service Center at 800.336.0013.
** The $2 copayment benefit for the prescriptions listed below is effective for MESSA ABC plans once the appropriate MESSA ABC in-network plan deductible is met. **
| Asthma Albuterol Azelastine Budesonide Cromolyn Flunisolide Fluticasone Fluticasone/Salmeterol Ipratropium Ipratropium/Albuterol Levalbuterol Momestasone Montelukast Olopatadine Zafirlukast Zileuton |
Diabetes Acarbose Chlorpropamide Diazoxide Glimepiride Glipizide Glipizide/Metformin HCL Glyburide Glyburide/Metformin Metformin HCL Miglitol Nateglinide Pioglitazone Pioglitazone/Glimepiride Pioglitazone/Metformin Repaglinide Repaglinide/Metformin Tolazamide Tolbutamide |
This list is current as of June 2024 but may be updated over time due to market changes.