HISD Benefits Office

Bringing Benefits To Life

Prescription Drugs

2025 coverage cost comparison

2025 PRESCRIPTION DRUG COMPARISON		Charter Select Earn $35,00 or less	Charter Basic	Nexus Basic	Choice HDHP	Charter Plus	Nexus Plus	Choice

Annual pharmacy deductible		$50 per person	$100 per person	$100 per person	Integrated with medical	$100 per person	$100 per person	$100 per person
Prescription drugs (30-day retail)⁵	Tier 1 Generally Genetic	$20	$20	20%	20%	$20	$20	$20
	Tier 2 Generally preferferd brand	$60	$75	$75	20%	$75	$75	$75
	Tier 3 Generally Non-preferferd brand generic	$100	25% (min. $100 copay/max. $250 copay)	25% (min. $100 copay/max. $250 copay)	20%	25% (min. $100 copay/max. $250 copay)	25% (min. $100 copay/max. $250 copay)	25% (min. $100 copay/max. $250 copay)
	Specialty Drugs	$150	25% (min. $100 copay/max. $250 copay)	25% (min. $100 copay/max. $250 copay)	20%	25% (min. $100 copay/max. $250 copay)	25% (min. $100 copay/max. $250 copay)	25% (min. $100 copay/max. $250 copay)
Prescription drugs (90-day or retail)⁵	Tier 1 Generally Genetic	$50	$50	$50	20%	$50	$50	$50
	Tier 2 Generally Genetic	$150	$187.50	$187.50	20%	$187.50	$187.50	$187.50
	Tier 3 Generally Non-preferred brand generic	$250	25% (min. $250 copay/max. $500 copay)	25% (min. $250 copay/max. $500 copay)	20%	25% (min. $250 copay/max. $500 copay)	25% (min. $250 copay/max. $500 copay)	25% (min. $250 copay/max. $500 copay)

1 - Charter PCP and specialist copays do not count towards the annual deductible; but, do apply towards the annual out-of-pocket maximum.
2 - Free if you are enrolled in an HISD medical plan (not available to Choice HDHP members).
3 - Pre-certification may be required.
4 - Services are tiered under Nexus Basic and Nexus Plus.
5 - Separate pharmacy copay applies after separate pharmacy deductible has been met (except Choice HDHP).

2024 coverage cost comparison

HISD Benefits Office

Bringing Benefits To Life

Prescription Drugs

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Prescription Drugs

2025 coverage cost comparison

2024 coverage cost comparison

For additional information, view The 2024 Benefits Guide.

View larger 2024 Prescription Drug Comparison Chart