Rx Drug Benefits • Same benefit level for BCBS HMO and BCBS HDP • All major pharmacies are included • Pharmacy Benefit Manager is CVS Caremark (effective Jan. 1, 2023) • Member uses RSI debit card to cover the full cost of covered Rx drugs Member Tier 1 Tier 2 Tier 3 Responsibility 30 Day (Retail) $0 $0 $0 90 Day (Mail Order) $0 $0 $0 10