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  • 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. $100 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).