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 Home  Health & Welfare  Retiree H&W

Retiree H&W - Prescription Drugs

Effective January 1, 2003, prescriptions for retirees are covered under the prescription drug plan administered by Caremark.   Through Caremark, the Plan has negotiated reduced prices for most medications purchased from a  pharmacy that is a member of the Caremark network. 

There are two ways to buy prescription drugs:

Retail Pharmacy
 

The Plan covers up to a 30-day supply of medication from a retail pharmacy. This benefit is designed for short-term or single use medications. 
 

Mail Order Pharmacy

The Plan covers up to a 90-day supply of medication from a mail-order pharmacy. This benefit is designed for long-term or maintenance medications.  Using Caremark via mail or internet, you may receive a 90-day supply for the price of 60-days! 

The Plan allows for you to refill your prescriptions after 2/3 of the prescribed dosage has been used.
 

Co-Payments and Maximums for all Retiree Plans

Your co-payment amounts are as follows:

 Type of Prescription Retail
(30 day supply)
Mail Order
(90 day supply)
 Generic $15 $30
 Brand (no generic available) $35 $70
 Brand (generic available) Not Covered Not Covered

Your annual out-of-pocket limit for prescription drugs is $750 per person or $1,500 per family.  Should you select a brand name medication when a generic is available, it will not be covered.  If you do not use your ID card, or use a non-member pharmacy, the difference between the retail charge and the contracted rate will not apply to your out-of–pocket maximum.

Please note that the plan will not reimburse for more than a 90-day supply obtained in any 90-day period.  You may not refill a prescription until more than 2/3 of the prescribed dosage has been used .

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