Making prescriptions more accessible—and more affordable

About 43% of adults reported not taking their medication as prescribed because of the cost at some point last year.¹ As Maine’s only locally based, non-profit health insurer and plan administrator, we work hard to keep your team’s out-of-pocket costs lower and your premiums manageable.

Explore Prescription Savings

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Discover the Difference

COST SAVING PILLARS

Real savings from day one

The medications our Members need at costs they can afford.

$5 for most common generic prescriptions

Tier 1 preferred generics cost $0 or a flat $5 copay for a 30-day supply on all non-HSA plans. Because that makes up 90% of member prescriptions, your team sees immediate savings.

Automatic price protection with Price Assure

When using an in-network pharmacy that accepts GoodRx, our Price Assure program automatically checks and applies the lower of our generic price or the GoodRx price.

More savings found through ScriptSaver

Our Pharmacy team works directly with Members, providers, and pharmacies to find manufacturer coupons and other cost-saving opportunities, lowering out-of-pocket costs even further.

The support your team needs, where it’s needed

The Chronic Illness Support Program (CISP)

Built right into our plans, CISP helps take some financial pressure off managing ongoing health conditions.

Standard plans

$0 copay for select Tier 1 generics via Express Scripts for 35+ days of medication, plus a 50% cost-share reduction on select Tier 2 and Tier 3 medications.

HSA Plus plans

Access to select HSA+ designated chronic medications with zero deductible required at in-network retail pharmacies.

Prescriptions made simple

We partner with Express Scripts^® to take the stress out of managing prescriptions.

Extended Payment Program

Members get a 90-day supply of maintenance medications at the price of two 30-day copays, and the cost can be split across three equal monthly payments.

Stay on track while you are on the go

Employees can use the Express Scripts^® mobile app to track orders, check prices, and request refills.

Specialty pharmacy support through Accredo^®

We partner with Accredo to help Members manage complex, chronic, or rare conditions with benefits including:

Medication home delivery

Members can get the medications they rely on shipped safely right to their door.

Benefit approval support

Dedicated teams help with paperwork so Members can avoid care delays.

Pharmacists, nurse and clinical support

Real clinicians are available around the clock to help Members manage their health.

Financial assistance programs

Real help finding programs to aid to lower out-of-pocket costs.

The extra mile is our everyday

For many Members, the Pharmacy Team is the difference between getting and affording medication and going without, all while working to contain rising prescription costs.

Expanding the Infusion Site of Care program

Increasing Member incentive payments and adding medications to lower specialty drug costs. Explore the program.

Shifting to biosimilars to maximize savings

Moving Members to lower-cost, high-quality options. Biosimilars are interchangeable with their brand-name equivalent, helping keep premiums manageable

Providing day-to-day support

Finding out-of-stock medications, redirecting time-sensitive prescriptions, and clearing barriers for easier access.

Keeping
our people healthy and your team supported

It was after hours on the last night of Open Enrollment for 2026, when a small business account rep called the pharmacy team. A Member with diabetes couldn't afford both his premiums and the Dexcom monitor he needed for his insulin pump — so he planned to cancel coverage. The team found him a plan with a Chronic Illness Support Program that offered a compatible monitor at no out-of-pocket cost. The pharmacist called, explained the program, and he enrolled just before the deadline.

Ready for a partner who goes the extra mile?

Pick a 15-minute window to discuss how we can help you and your group clients.

Small Group

For businesses with 50 or fewer employees, chat with TJ.

Schedule Your Quick Call

Large Group

For businesses with 51 or more employees, chat with Kaleb.