Skip to main content

Plan Benefits

2026 Summary

The SilverScript Employer PDP sponsored by
Consolidated Edison 2026 Benefit Summary

Plan summary
Monthly Premium, Deductible, and Limits on How Much You Pay for Covered Services
Premium

Your premium is paid by Con Edison. Please review the Annual Enrollment materials you received from Con Edison or contact Con Edison's HR Assistance at HR@coned.com or
1-800-582-5056, Monday through Friday from 8:00 a.m. to 4:00 p.m.
Deductible
Annual deductible of $150.00.

You pay a deductible only when you use a retail pharmacy.

There is no deductible when you use the mail order pharmacy, get a 90-day supply of a non-specialty drug at a preferred network retail pharmacy, and/or get a specialty drug at a preferred network retail pharmacy.

There is no deductible for insulin products and most adult Part D vaccines, including shingles, tetanus and travel vaccines.
Initial Coverage

You pay the amounts in the tables below until your total yearly drug costs reach $2,100. Total yearly drug costs are the amounts paid by both you and the plan for Part D drugs. You may get your drugs at network retail pharmacies and mail order pharmacies. Some of our network pharmacies are preferred network retail pharmacies where you pay the same cost as mail order for a 90-day supply of a non-specialty maintenance medication.
Your share of the cost when you get a 30-day supply of a covered Part D prescription drug:
Your share of the cost when you get a 30-day supply of a covered Part D prescription drug:
Network Retail Pharmacy (Up to a 30-day supply available at any network pharmacy) Long-Term Care (LTC) Pharmacy (Up to a 31-day supply)
Tier 1 - Generic $15.00 $15.00
Tier 2 - Preferred Brand $40.00 $40.00
Tier 3 - Non-Preferred Brand $60.00 $60.00
Specialty Drugs

• Generic: $35
• Preferred Brand: $100
• Non-Preferred Brand: $150

• Generic: $35
• Preferred Brand: $100
• Non-Preferred Brand: $150
Your share of the cost when you get a 60-day supply of a covered Part D prescription drug:
Your share of the cost when you get a 60-day supply of a covered Part D prescription drug:
Network Retail Pharmacy (Up to a 60-day supply available at any network pharmacy)
Tier 1 - Generic $30.00
Tier 2 - Preferred Brand $80.00
Tier 3 - Non-Preferred Brand $120.00
Specialty Drugs:

• Generic: $70
• Preferred Brand: $200
• Non-Preferred Brand: $300
Your share of the cost when you get a long-term supply (up to 90 days) of a covered Part D prescription drug:
Your share of the cost when you get a long-term supply (up to 90 days) of a covered Part D prescription drug:
Preferred Network Retail Pharmacy (Up to a 90-day supply) Standard Network Retail Pharmacy (Up to a 90-day supply) Mail-Order Pharmacy (Up to a 90-day supply)
Tier 1 - Generic $35.00 $45.00 $35.00
Tier 2 - Preferred Brand $100.00 $120.00 $100.00
Tier 3 - Non-Preferred Brand $150.00 $180.00 $150.00
Specialty Drugs

• Generic: $35
• Preferred Brand: $100
• Non-Preferred Brand: $150

• Generic: $105
• Preferred Brand: $300
• Non-Preferred Brand: $450

• Generic: $35 (30 day)
• Preferred Brand: $100 (30 day)
• Non-Preferred Brand: $150 (30 day
Most adult Part D vaccines are available at $0 copayment, even if you haven’t paid your deductible.

You won’t pay more than $35 for a one-month supply, $70 for a two-month supply or $105 for a three-month supply of each covered insulin product, regardless of cost-sharing tier, even if you haven’t paid your deductible.

Note: You pay the same share of the cost for your drug filled through the Mail-Order Pharmacy, whether you get a one-month supply or a long-term supply. This means that the copayment or coinsurance listed in the Mail-Order Pharmacy column of the table above is applicable for any order, regardless of the day supply.
Catastrophic Coverage

After you reach $2,100 in Medicare out-of-pocket costs for the year, you are in the Catastrophic Coverage stage.

During the Catastrophic Coverage stage, you will have $0 copayment for drugs included on the SilverScript formulary.

For drugs that are not on the SilverScript formulary but are covered through the additional coverage provided by Con Edison, you will pay the same Con Edison copayment that you paid during the Initial Coverage stage.