Retail Prescriptions: Generic $10 $0 after deductible $10 Retail Prescriptions: Preferred $30 $0 after deductible $30 Retail Prescriptions: Non - Preferred $60 $0 after deductible $60 Retail Prescriptions: Specialty 20% after deductible $0 after deductible 20% after deductible Prescription Coverage In - Network