Page 11 - Guide
P. 11
2017 BENEFITS ENROLLMENT
The Associate Choice Plan
also includes a Flex Card Plus
Discount Formulary Program
Prescription Drugs through ProCare Rx . It is
The below beneit is included in the Associate Choice Base Plan and designed to provide a cost-
effective yet wide selection of
Plus Plan. medications at an affordable
Preferred Drug List price . If you obtain a prescription
from your doctor for a
The formulary (preferred drug list or “PDL”) you will be using has three medication which is included
payment levels. You will pay the lesser of the actual cost of the drug or under the program’s preferred
the $10, $20, or $40 tiered cost as shown below. drug list and ill your prescription
at a preferred pharmacy, you
Tier 1 preferred-drugs which may be available for $10 or less at will pay the lesser of the actual
cost of the drug or a $10, $20, or
preferred pharmacy $40 per prescription payment,
Tier 2 preferred-drugs which may be available for $20 or less at depending on the prescription .
preferred pharmacy
Tier 3 preferred-drugs which may be available for $40 or less at
preferred pharmacy
All other drug strengths and quantities not listed in the preferred drug
list will be offered to you at a discounted price
Periodically, the preferred drug list may be updated with new drugs and
tier changes. For the latest copy of the preferred drug list, login to the
ProCare Rx member portal at www.procarerx.com and click “Members-
Customers-Login” in the top right corner.
Cost-Saving Mail Service Benefit
Your prescription beneit program also contains a mail service beneit
at which you can order up to a 90-day supply of your medication. Our
mail service partner, ProCare Pharmacy Care, offers very good discounts,
which can save you an additional 3% to 30% over retail pharmacy prices,
and you have the convenience of home delivery.
For additional information regarding your mail service beneit, please call
ProCare Pharmacy Care at 855.828.1484.
MOTOMART 11
The Associate Choice Plan
also includes a Flex Card Plus
Discount Formulary Program
Prescription Drugs through ProCare Rx . It is
The below beneit is included in the Associate Choice Base Plan and designed to provide a cost-
effective yet wide selection of
Plus Plan. medications at an affordable
Preferred Drug List price . If you obtain a prescription
from your doctor for a
The formulary (preferred drug list or “PDL”) you will be using has three medication which is included
payment levels. You will pay the lesser of the actual cost of the drug or under the program’s preferred
the $10, $20, or $40 tiered cost as shown below. drug list and ill your prescription
at a preferred pharmacy, you
Tier 1 preferred-drugs which may be available for $10 or less at will pay the lesser of the actual
cost of the drug or a $10, $20, or
preferred pharmacy $40 per prescription payment,
Tier 2 preferred-drugs which may be available for $20 or less at depending on the prescription .
preferred pharmacy
Tier 3 preferred-drugs which may be available for $40 or less at
preferred pharmacy
All other drug strengths and quantities not listed in the preferred drug
list will be offered to you at a discounted price
Periodically, the preferred drug list may be updated with new drugs and
tier changes. For the latest copy of the preferred drug list, login to the
ProCare Rx member portal at www.procarerx.com and click “Members-
Customers-Login” in the top right corner.
Cost-Saving Mail Service Benefit
Your prescription beneit program also contains a mail service beneit
at which you can order up to a 90-day supply of your medication. Our
mail service partner, ProCare Pharmacy Care, offers very good discounts,
which can save you an additional 3% to 30% over retail pharmacy prices,
and you have the convenience of home delivery.
For additional information regarding your mail service beneit, please call
ProCare Pharmacy Care at 855.828.1484.
MOTOMART 11
