Page 12 - Open Enrollment Guide Sample
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Generic drugs (marketed without Prescription Drug Plan
brand names) are generally less
expensive than brand name drugs,
even though they are chemically How the Prescription Drug Plan Works
identical to brand name drugs and
meet the same standards of the FDA The prescription drug plan is administered through Express Scripts (ESI).
(U.S. Food and Drug Administration) The amount you pay for prescriptions depends on the type of drug
for safety, purity, and effectiveness. you purchase and whether you use a retail or mail order pharmacy. If
Prescription Coverage you or your dependents take medications on a regular basis (every day),
Show your Anthem member ID card at you can save time and money by illing these maintenance prescriptions
your retail pharmacy. Your pharmacist through the mail order service, also known as Select Home Delivery.
will have access to the discounted You must make a choice whether you want home delivery or retail by
cost of your prescription and let you the third time you reill your prescription at a retail pharmacy. With mail
know what you owe right away. You order, prescriptions are delivered directly to your home—and it saves you
may also ill your prescriptions through money.
the Express Scripts (ESI) mail-order
program.
Our plan also has a Step Therapy program in place that is designed for
those beginning to take prescription drugs for certain chronic conditions
and injectable drugs. The program encourages the use of lower cost
generic drugs before taking the brand name drug.
Some prescription drugs also require approval by ESI before the
prescription may be illed. Prior authorization, as this program is called, is
designed to ensure the appropriate use of selected drugs. Contact ESI for
more information. Refer to the back of your medical ID card.
Injectable and other speciality drugs are also available under the pharmacy
plan. Contact ESI Specialty Pharmacy (Accredo) for more information at
(800) 803-2523.
To obtain a list of preferred brand drugs, contact ESI or refer to
[Web Address].
[Client]
Generic drugs (marketed without Prescription Drug Plan
brand names) are generally less
expensive than brand name drugs,
even though they are chemically How the Prescription Drug Plan Works
identical to brand name drugs and
meet the same standards of the FDA The prescription drug plan is administered through Express Scripts (ESI).
(U.S. Food and Drug Administration) The amount you pay for prescriptions depends on the type of drug
for safety, purity, and effectiveness. you purchase and whether you use a retail or mail order pharmacy. If
Prescription Coverage you or your dependents take medications on a regular basis (every day),
Show your Anthem member ID card at you can save time and money by illing these maintenance prescriptions
your retail pharmacy. Your pharmacist through the mail order service, also known as Select Home Delivery.
will have access to the discounted You must make a choice whether you want home delivery or retail by
cost of your prescription and let you the third time you reill your prescription at a retail pharmacy. With mail
know what you owe right away. You order, prescriptions are delivered directly to your home—and it saves you
may also ill your prescriptions through money.
the Express Scripts (ESI) mail-order
program.
Our plan also has a Step Therapy program in place that is designed for
those beginning to take prescription drugs for certain chronic conditions
and injectable drugs. The program encourages the use of lower cost
generic drugs before taking the brand name drug.
Some prescription drugs also require approval by ESI before the
prescription may be illed. Prior authorization, as this program is called, is
designed to ensure the appropriate use of selected drugs. Contact ESI for
more information. Refer to the back of your medical ID card.
Injectable and other speciality drugs are also available under the pharmacy
plan. Contact ESI Specialty Pharmacy (Accredo) for more information at
(800) 803-2523.
To obtain a list of preferred brand drugs, contact ESI or refer to
[Web Address].
[Client]
