EPIC Program

EPIC Co-payments

At the pharmacy, seniors present both their EPIC and any other drug insurance cards, including Medicare Part D. For drugs purchased when the members is in the Medicare Part D coverage gap, the EPIC co-payment is based on the cost of the prescription remaining after being billed to the Medicare Part D drug plan.

Co-payments for Medicare Part D covered or excluded drugs purchased in the Medicare Part D coverage gap
Prescription Cost
(after submitted to Medicare)		 EPIC
Co-Payment
Up to $ 15 $ 3
$ 15.01 to $ 35 $ 7
$ 35.01 to $ 55 $ 15
Over $ 55 $ 20