RETIREE PRESCRIPTION DRUG COPAYMENTS
(NJ DIRECT10 and NJ DIRECT15 PLANS)

State and Local Government Retiree Copayment Amounts for Plan Year 2008
Click for Local Education Retiree Copayments

Effective April 1, 2008, State Health Benefits Program (SHBP) State and Local Government
Retired Group members enrolled under the NJ DIRECT15 or NJ DIRECT10 Plans
have the following prescription drug copayment amounts.

Retail Pharmacy copayment amounts - up to a 90-day supply

Mail Order copayment amounts — up to a 90-day supply

The annual maximum out-of-pocket for prescription drug copayments is $1,092 per person. Once a person has paid $1,092 in copayments in a calendar year, that person is no longer required to pay any prescription drug copayments for the remainder of that calendar year. Prescription drug copayments are not eligible for further reimbursement and do not apply to the NJ DIRECT deductible or coinsurance.

If you have any questions regarding this information, please contact our Office of Client Service at (609) 292-7524.