Prescription drugs

Affordable, convenient options, with some free generics 

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Prescription drugs

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H-E-B RxTRA Advantage powered by MedImpact is Katy ISD's new Phramacy Benefit Manager (PBM) for January 1, 2026.

  • All medical plans include pharmacy coverage solely through H-E-B RxTRA Advantage.

  • H-E-B provides retail options at all thier Texas based H-E-B pharmacies.

  • You can also order home delivery by calling H-E-B RxTRA Advantage at 1-877-432-6315 and asking for home delivery options.

  • As long as you are enrolled in any of the medical plans, generic drugs for high blood pressure, high cholesterol, asthma, or diabetes (inlcuding injectable insulin) remain available at no cost to you. You will need to purchase 90-day supplies through H-E-B. 

  • Click here to view FAQs

 

                

Maintenance prescriptions

When you have a new prescription for a maintenance medication, you can fill the first two 30-day supplies at any H-E-B pharmacy. After that, you can save considerable money by ordering a 90-day supply through H-E-B.

The new High Deductible Health Plan (HDHP) has different prescription drug coverages.

This plan has no copays nor does it include any no-cost prescription. The cost of the prescriptions are combined with medical plan costs to create one annual deductible.

You pay 100% of your prescription drug expenses until you meet your medical annual deductible of $5,250 per individual *except for Preventive Care drugs which are covered at 100% – Deductible is waived. Once the medical deductible is met then your prescription drugs are covered at 100%. 

No-cost prescriptions for high blood pressure, high cholesterol and diabetes

If you are enrolled in any of the medical plans, generic drugs for high blood pressure, high cholesterol, asthma, or diabetes (including injectable insulin) remain available at no cost to you. You will need to purchase 90-day supplies through H-E-B pharmacy.


In compliance with ACA rules, the plan also covers women's generic contraceptives at 100%, as well as those that have no generic available.

Specialty drug prescriptions

For specialty drugs, use H-E-B Rxtra Advantage specialty program. This program covers certain specialty medications and ensures that once you are enrolled and eligibility is confirmed, you have lesser financial responsibility for those medications.

Have questions? Call H-E-B RxTRA Advantage at 1-877-432-6315 to get started.

Prior authorization

The prescription drug plan doesn't cover certain medicines without prior authorization for medical necessity. If you're currently using one of these drugs and don't get authorization from your doctor, you may have to pay the full cost of your medication. Another option is to choose a generic or brand formulary alternative. When you choose a drug from this list, you don't have to get prior authorization.

Helpful resources

For more information about prescription drug coverage, call H-E-B RxTRA Advantage at 1-877-432-6315.

 
Prescription Plans
Annual prescription deductibles 1
Prescription drug (30-day retail)
Prescription drug (90-day mail or retail)
Prescription drug plans
Annual prescription deductibles 1
Memorial Hermann ACO 2025 $0 - $200
HDHP (High Deductible Health Plan) 2025

Shared deductible
(medical and prescription)

$5,250 Individual / $10,500 Family

Choice POS 2025 $0 - $200
Prescription drug (30-day retail)
Memorial Hermann ACO 2025 $20 - $80
HDHP (High Deductible Health Plan) 2025

Shared deductible
(medical and prescription)

$5,250 Individual / $10,500 Family

Choice POS 2025 $20 - $80
Prescription drug (90-day mail or retail)
Memorial Hermann ACO 2025 $40 - $200
HDHP (High Deductible Health Plan) 2025

Shared deductible
(medical and prescription)

$5,250 Individual / $10,500 Family

Choice POS 2025 $40 - $200
Prescription drug plans
Annual prescription deductibles 1
Memorial Hermann ACO 2025 $0 - $200
HDHP (High Deductible Health Plan) 2025

Shared deductible
(medical and prescription)

$5,250 Individual / $10,500 Family

Choice POS 2025 $0 - $200
Prescription drug (30-day retail)
Memorial Hermann ACO 2025 $20 - $80
HDHP (High Deductible Health Plan) 2025

Shared deductible
(medical and prescription)

$5,250 Individual / $10,500 Family

Choice POS 2025 $20 - $80
Prescription drug (90-day mail or retail)
Memorial Hermann ACO 2025 $40 - $200
HDHP (High Deductible Health Plan) 2025

Shared deductible
(medical and prescription)

$5,250 Individual / $10,500 Family

Choice POS 2025 $40 - $200
Prescription drug plans
Annual prescription deductibles 1
Memorial Hermann ACO 2025 $0 - $200
HDHP (High Deductible Health Plan) 2025

Shared deductible
(medical and prescription)

$5,250 Individual / $10,500 Family

Choice POS 2025 $0 - $200
Prescription drug (30-day retail)
Memorial Hermann ACO 2025 $20 - $80
HDHP (High Deductible Health Plan) 2025

Shared deductible
(medical and prescription)

$5,250 Individual / $10,500 Family

Choice POS 2025 $20 - $80
Prescription drug (90-day mail or retail)
Memorial Hermann ACO 2025 $40 - $200
HDHP (High Deductible Health Plan) 2025

Shared deductible
(medical and prescription)

$5,250 Individual / $10,500 Family

Choice POS 2025 $40 - $200
Prescription drug plans
Annual prescription deductibles 1
Memorial Hermann ACO 2025 $0 - $200
HDHP (High Deductible Health Plan) 2025

Shared deductible
(medical and prescription)

$5,250 Individual / $10,500 Family

Choice POS 2025 $0 - $200
Prescription drug (30-day retail)
Memorial Hermann ACO 2025 $20 - $80
HDHP (High Deductible Health Plan) 2025

Shared deductible
(medical and prescription)

$5,250 Individual / $10,500 Family

Choice POS 2025 $20 - $80
Prescription drug (90-day mail or retail)
Memorial Hermann ACO 2025 $40 - $200
HDHP (High Deductible Health Plan) 2025

Shared deductible
(medical and prescription)

$5,250 Individual / $10,500 Family

Choice POS 2025 $40 - $200