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About the Prescription Plan​​​​​​​​​​

All three medical plans cover drugs dispensed by Baylor Scott & White Health Pharmacies or pharmacies in our contracted network.​

 Here’s how it works:

      • With the SEQA/EQA and PPO plans, you pay copays or coinsurance from day one. In exchange for these low copays (e.g., $3–$5 for generics), pharmacy expenses are not eligible for payment from any remaining HRA funds
      •  With the HSA ​plan, pharmacy costs count toward deductible and coinsurance up until the out-of-pocket maximum is met

Our Group Value Formulary is reviewed and approved by BSWH physicians and healthcare providers.  Drugs not listed on the formulary require prior authorization. If the drug is approved, you’ll pay the applicable non-preferred or specialty copay.

Our outpatient pharmacies help you save money!

As a Baylor Scott & White Health employee, your best choice for quality and savings are Baylor Scott & White Pharmacies. Click here to see a list of BSW pharmacy locations 

Here are a few of the benefits:

        • Access to Tier 1 pharmacy network through the Scott and White Health Plan
          Filling at a Baylor Scott & White Pharmacy can save you and your family money especially on preferred generics and preferred brands. If you fill 90-day supply prescriptions, you can pay the cost of only two copays either in-store or through the mail order pharmacy. Download the mail ord​​er form.

        • ​​​​Receive a 20% discount on over-the-counter medications
          Simply show your Baylor Scott & White employee badge at any Baylor Scott & White pharmacy to receive the discount

        • ​​​​Use the MyBSWHealth App for your pharmacy needs:
            • Receive pick up and refill notifications
            • Manage both you and your family's medications
            • ​Easily transfer your medications from other local pharmacies

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​Need more detailed pharmacy information? Log in to the Member Portal to ​review claim and deductible information, as well as explanation of benefits. ​


Want to learn more? Browse our Digital Guide 

​Interested in the SEQA?
Diabetic medicine and supplies covered at no cost for S​​EQA participants!​

Pharmacy resources: