Page 29 - SIH 2022 Re-Enrollment Guide
P. 29
2022
SIH Benefits Re-Enrollment
Reference Priced Drugs Maintenance Medications
Reference based pricing applies to drugs (target Save money when you purchase a 90-day supply
drugs) that have lower cost, equally efective of eligible maintenance medications at a retail
alternate drugs in certain drug categories. These pharmacy, E-Pharmacy (see following page for
target drugs may be brand or generic. You may information), or through MaxorPlus. After illing
decrease your out-of-pocket expense by switching two 30-day supplies of maintenance medications at
to the lower cost preferred alternative. If you choose retail, you will be required to ill a 90-day supply at a
to ill the reference priced drug, your out-of-pocket retail pharmacy, or E-Pharmacy.
cost will be higher. The plan will only pay the
amount it would pay for the preferred alternative(s). Disposing Medications
You will pay the diference in cost between the
target drug and the preferred alternative(s). NOTE: MedSafe bins are located at our three hospitals and the SIH
Cancer Institute. The self-disposal boxes are for controlled
The amount paid by you for the target drug will not (Schedules II–V), noncontrolled, and over-the-counter
apply towards your maximum out-of-pocket. medicine, including narcotics.
Filling Your Prescription Here’s what you need to know:
X NEVER dispose of medications for patients or
You can purchase up to a 30-day supply of members of your family.
medication from any of the types of pharmacies X Do NOT put unused medications from the loor in any
listed in this section. You can obtain a 90-day supply MedSafe bin.
of certain maintenance medications from any of the X You CAN use the bins to dispose your own
types of pharmacies below. medications before or after your shift or on your
day of.
Types of Pharmacies MedSafe bins will be locked and unlocked by pharmacy
X Participating retail pharmacy: pharmacies personnel and are regulated by the US Drug Enforcement
who accept your medical ID card and Agency (DEA)
participate in the MaxorPlus pharmacy network.
Prescriptions can be either a 30-day or a 90-day Hours of Operation
supply. You can obtain a list of participating Memorial Hospital of Carbondale & Herrin Hospital:
retail pharmacies by signing into your member 7:30 a.m.-6:00 p.m., seven days a week
portal at www.maxorplus.com or by calling St. Joseph Memorial Hospital in Murphysboro:
800.687.0707. 7:30 a.m.-6:00 p.m., Monday-Friday 7:30 a.m.-3:30 p.m.,
Saturday and Sunday
X Mail order pharmacy: you can choose to
utilize the mail order pharmacy, MaxorPlus SIH Cancer Institute in Carterville:
Pharmacy Mail Service, for your 90-day supply 7:30 a.m.-3:30 p.m., Monday-Friday
prescriptions needs. Employees can call
MaxorPlus Mail order at 800.687.8629.
29
SIH Benefits Re-Enrollment
Reference Priced Drugs Maintenance Medications
Reference based pricing applies to drugs (target Save money when you purchase a 90-day supply
drugs) that have lower cost, equally efective of eligible maintenance medications at a retail
alternate drugs in certain drug categories. These pharmacy, E-Pharmacy (see following page for
target drugs may be brand or generic. You may information), or through MaxorPlus. After illing
decrease your out-of-pocket expense by switching two 30-day supplies of maintenance medications at
to the lower cost preferred alternative. If you choose retail, you will be required to ill a 90-day supply at a
to ill the reference priced drug, your out-of-pocket retail pharmacy, or E-Pharmacy.
cost will be higher. The plan will only pay the
amount it would pay for the preferred alternative(s). Disposing Medications
You will pay the diference in cost between the
target drug and the preferred alternative(s). NOTE: MedSafe bins are located at our three hospitals and the SIH
Cancer Institute. The self-disposal boxes are for controlled
The amount paid by you for the target drug will not (Schedules II–V), noncontrolled, and over-the-counter
apply towards your maximum out-of-pocket. medicine, including narcotics.
Filling Your Prescription Here’s what you need to know:
X NEVER dispose of medications for patients or
You can purchase up to a 30-day supply of members of your family.
medication from any of the types of pharmacies X Do NOT put unused medications from the loor in any
listed in this section. You can obtain a 90-day supply MedSafe bin.
of certain maintenance medications from any of the X You CAN use the bins to dispose your own
types of pharmacies below. medications before or after your shift or on your
day of.
Types of Pharmacies MedSafe bins will be locked and unlocked by pharmacy
X Participating retail pharmacy: pharmacies personnel and are regulated by the US Drug Enforcement
who accept your medical ID card and Agency (DEA)
participate in the MaxorPlus pharmacy network.
Prescriptions can be either a 30-day or a 90-day Hours of Operation
supply. You can obtain a list of participating Memorial Hospital of Carbondale & Herrin Hospital:
retail pharmacies by signing into your member 7:30 a.m.-6:00 p.m., seven days a week
portal at www.maxorplus.com or by calling St. Joseph Memorial Hospital in Murphysboro:
800.687.0707. 7:30 a.m.-6:00 p.m., Monday-Friday 7:30 a.m.-3:30 p.m.,
Saturday and Sunday
X Mail order pharmacy: you can choose to
utilize the mail order pharmacy, MaxorPlus SIH Cancer Institute in Carterville:
Pharmacy Mail Service, for your 90-day supply 7:30 a.m.-3:30 p.m., Monday-Friday
prescriptions needs. Employees can call
MaxorPlus Mail order at 800.687.8629.
29
