For Prescriptions or Refills You Buy at a Costco Pharmacy

Your copay per 34 day supply...

For Prescriptions or Refills You Buy at a Costco Pharmacy

Over the Counter:

• Kirkland Signature Brand $0
• Covered Brands $2 copay

Covered Over the Counter Drugs

Generic Drugs:

• $3

Brand-Name Drugs:

• 15% copay. There is a minimum charge of $10 and a maximum charge of $50 (see important note below)
  
  
Important Note: If you or your doctor requests a name-brand drug to be dispensed when an equivalent generic drug is available, you will pay the name-brand copayment, plus the cost difference between the brand-name and generic drug. Some exclusions apply, see Summary Plan Description for more details.

Costco-Designated Network Pharmacies

Your copay per 34 day supply...

Generic and Brand-Name Drugs:

• 25% copay. There is a minimum charge of $15 and a maximum charge of $50