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Table 20. Outpatient prescription drug benefits: Generic drug limits,(1) private industry workers, 2018
(All workers participating in outpatient prescription drug plans with generic drug coverage = 100 percent)
Characteristics Copayment Median copayment per prescription Coinsurance Median coinsurance per prescription Coinsurance exists and a minimum or maximum dollar amount applies Combination of copayment and coinsurance or another limit No cost per fill or refill Not determinable

Worker characteristics

All workers

72 10 22 80 8 - 4 -

Management, professional, and related

72 10 22 80 8 - 6 -

Management, business, and financial

70 10 24 80 8 - 5 -

Professional and related

73 10 20 85 8 - 6 -

Sales and office

74 10 21 80 9 1 4 1

Sales and related

74 10 21 80 11 - - (2)

Office and administrative support

74 10 20 80 8 - 4 -

Full time

72 10 22 80 8 - 4 -

Part time

68 10 19 80 13 - - (2)

Establishment characteristics

Service-providing industries

72 10 21 80 9 - 5 -

Trade, transportation, and utilities

68 10 28 80 14 - - 1

Information

67 10 31 80 - - - -

Financial activities

68 10 28 80 8 - 2 2

Education and health services

73 10 9 80 - - - 2

Educational services

80 10 6 90 2 - 13 -

Health care and social assistance

72 10 9 80 - - - 2

Geographic areas

Northeast

72 10 22 80 11 - - 1

New England

83 10 - - - - - (2)

Middle Atlantic

67 10 24 80 12 - - 1

South

69 10 24 80 10 - 6 -

South Atlantic

73 10 21 80 9 - - 1

West South Central

63 10 29 80 12 - - (2)

Midwest

73 10 20 80 6 - 3 -

East North Central

73 10 20 80 7 1 - -

West North Central

73 10 21 80 - - - (2)

West: Mountain

55 10 26 80 8 - - 1

Footnotes:
(1) Outpatient prescription drug benefits include both stand-alone drug plans and prescription drug benefits included as part of a medical plan.
(2) Less than 0.5.

Note: Because of rounding, sums of individual items may not equal totals. Dashes indicate that no data were reported or that data do not meet publication criteria. For definitions of major plans, key provisions, and related terms, see the "Glossary of Employee Benefit Terms" at www.bls.gov/ncs/ebs/detailedprovisions/2018/ownership/private/glossary.htm.
Source: U.S. Bureau of Labor Statistics, National Compensation Survey.

 

Last Modified Date: May 7, 2019