Skip to Main content

Pharmacy Copays

Pharmacy copays Iowa Wellness Plan Medicaid hawk-i
Brand name prescription $0.00 $0.00 $0.00
Generic prescription $0.00 $0.00 $0.00
Maintenance prescription $0.00 $0.00 $0.00


There will be no prescription copay for members who are:

  • Younger than 21 years old.
  • Pregnant.
  • Receiving emergency services.

Exempt populations

  • Individuals between ages one and 18 years old are eligible for co-pay exemption under 42 C.F.R. § 435.118.
  • Pregnant women during pregnancy and through the postpartum period, which begins on the last day of pregnancy and extends through the end of the month in which the 60-day period following termination of pregnancy ends.
  • If you have questions about a member's pharmacy benefits or other AmeriHealth Caritas Iowa pharmacy-related questions, call PerformRx℠ Iowa Provider Services at 1-855-328-1612.