El Paso County Prescription Drug Benefit


County - City Pharmacy Co-pay
DRUG 1-30 Day Supply 31-60 Day Supply 61-90 Day Supply
First Tier:

$6.00

$12.00

$15.00

Second Tier:

$24.00

$48.00

$60.00

Third Tier:

$42.00

$84.00

$105.00



Network Pharmacy Co-pay (30-Day Supply)
DRUG Non-Maintenance Fill** Maintenance First Fill Maintenance Second Fill Maintenance Third Fill
First Tier:

$18.00

$18.00

$36.00

100% of Retail

Second Tier:

$48.00

$48.00

$96.00

100% of Retail

Third Tier:

$78.00

$78.00

$153.00

100% of Retail


**Non-Maintenance Medications fall into the following classes:

  • Analgesics (Narcotic and non-narcotic pain medications)
  • Antiinfectives (oral, opthalmic, otic, topical)
  • Antidiarrheals
  • Antidotes
  • Antinauseants
  • Bronchodilators
  • Cough & Cold Preparations
  • Muscle Relaxants
  • Steroids (excludes inhalers)

***For diabetic supplies obtained at network pharmacies, network co-pays apply. Items are free ONLY if obtained at County - City Pharmacies.

Preferred Drug List (PDF)

Preferred Alternatives List (PDF)


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