Page 8 - ProModel 2015 Benefits Guide
P. 8
Prescription Program
The pharmacy dispensing company is CVS/Caremark. The following
are a few important points to keep in mind.
1. The prescription drug card is combined with the medical program
and you will only receive one card to be used for both medical and
PRESCRIPTION prescription coverage.
PROGRAM 2. If you currently obtain your medication reills at a local pharmacy,
there is no need for you to obtain a new prescription from your
physician. Present your ID card to your pharmacy for any reills
and your pharmacist can bill CVS/Caremark and charge you the
applicable plan copay.
3. If you wish to obtain your medications via the mail order program,
you will use CVS/Caremark.
If you need prescription drugs,
simply go to one of the participating 4. Please refer to the formulary list. A formulary is essentially a
pharmacies in the Capital BlueCross preferred drug list for a particular health plan. The drugs on
network which can be found at
www.capbluecross.com. Present the the formulary have been evaluated and researched for safety
pharmacist with your ID card which and effectiveness, and are often the most cost-effective versions
will identify your beneits under
the pharmacy program. Based on of commonly-prescribed medications. By using a single set of
the prescription requested by your prescribed medications for most routine treatments, health plans are
doctor, the pharmacist will either
give you: A) “Generic” ill, B) a able to provide high-quality care and keep costs as low as possible.
“Preferred Brand Name Drug”, or Remember to ask your doctor about generic alternatives—it can
C) a “Non-Preferred Brand Name
Drug”. save you money!
5. Please refer to the formulary list provided by Capital BlueCross for
any medications which may require a prior authorization. If your
medication requires a prior authorization under Capital BlueCross,
please contact your physician to begin this process.
Retail
Mail Order
Copays for prescriptions (30-day supply) (90-day supply)
Generic $10 $15
Preferred Brand $20 $25
Non-Preferred Brand $20 $25
8
The pharmacy dispensing company is CVS/Caremark. The following
are a few important points to keep in mind.
1. The prescription drug card is combined with the medical program
and you will only receive one card to be used for both medical and
PRESCRIPTION prescription coverage.
PROGRAM 2. If you currently obtain your medication reills at a local pharmacy,
there is no need for you to obtain a new prescription from your
physician. Present your ID card to your pharmacy for any reills
and your pharmacist can bill CVS/Caremark and charge you the
applicable plan copay.
3. If you wish to obtain your medications via the mail order program,
you will use CVS/Caremark.
If you need prescription drugs,
simply go to one of the participating 4. Please refer to the formulary list. A formulary is essentially a
pharmacies in the Capital BlueCross preferred drug list for a particular health plan. The drugs on
network which can be found at
www.capbluecross.com. Present the the formulary have been evaluated and researched for safety
pharmacist with your ID card which and effectiveness, and are often the most cost-effective versions
will identify your beneits under
the pharmacy program. Based on of commonly-prescribed medications. By using a single set of
the prescription requested by your prescribed medications for most routine treatments, health plans are
doctor, the pharmacist will either
give you: A) “Generic” ill, B) a able to provide high-quality care and keep costs as low as possible.
“Preferred Brand Name Drug”, or Remember to ask your doctor about generic alternatives—it can
C) a “Non-Preferred Brand Name
Drug”. save you money!
5. Please refer to the formulary list provided by Capital BlueCross for
any medications which may require a prior authorization. If your
medication requires a prior authorization under Capital BlueCross,
please contact your physician to begin this process.
Retail
Mail Order
Copays for prescriptions (30-day supply) (90-day supply)
Generic $10 $15
Preferred Brand $20 $25
Non-Preferred Brand $20 $25
8
