The State Benefits Office has informed VRSEA that effective September 1, 2021, there is a group of diabetic medications that are capped at a maximum $25 monthly out of pocket cost (copay) for retiree health plan members. The list of drugs is attached in the following link: Good News on Diabetes Drugs
If you have been paying more than $25 out-of-pocket for a 30 day supply of one of these drugs, your future copay will be only $25 per month for that drug. The $25 maximum copay is per drug, per month. If you order a two-month supply of a listed drug, your maximum copay will be $50, and for a three month supply it will be maximum of $75. If you have been paying less than a $25 copay per month for one of these drugs, your copay will remain the same. This change will be most beneficial for those who have been paying more than $25 per month out of pocket for each of the drugs on the list.