Page 10 - 2020 Intertek Benefits Enrollment
P. 10
Home Delivery Classic PPO CDHP
In-Network
You could save money by Out-of-Pocket Maximum Prescription Only In-Network
ordering up to a 90-day supply of Employee $1,500 Medical/Rx deductible
medication. Make fewer trips to Employee + 1 $3,000 Medical/Rx deductible
the pharmacy and avoid waiting Family $3,000 Medical/Rx deductible
in line. Your medication is shipped Prescription Drugs
directly to your home with standard Retail supply limit 30 days 30 days
shipping at no cost to you. Generic $10 copay $0 after deductible
Preferred $40 copay $0 after deductible
Pharmacists are available around Non-preferred $80 copay $0 after deductible
90 days
90 days
the clock to answer your questions. Mail order supply limit $20 copay $0 after deductible
Generic
With home delivery, you can go Preferred $80 copay $0 after deductible
online to compare medication Non-preferred $160 copay $0 after deductible
pricing, check the timing for
your next order and even set up Step Therapy
reminders to take your medication
on time. After clinical studies of many diferent drugs, CVS/Caremark has
selected certain drugs to be the irst options tried when treating some
conditions. These drugs have been selected as the “irst step” because
studies have shown they are proven to work well for most people and
are more afordable. Your pharmacy will alert you to the step therapy if
a prescription you present is included in a step therapy category.
Prior Authorization
Prior Authorization requirements help ensure drugs are used in
the proper way and in doses that are right for each person as
recommended by the U.S. Food and Drug Administration. While
most prescriptions can be illed immediately by the pharmacy, some
require further review. If you encounter a prescription that requires
prior authorization, your pharmacy will let you know and either
the pharmacy or your doctor will work with CVS/Caremark’s Prior
Authorization Center to determine if your prescription will be approved
as requested.
10 2020 Benefits Guide
In-Network
You could save money by Out-of-Pocket Maximum Prescription Only In-Network
ordering up to a 90-day supply of Employee $1,500 Medical/Rx deductible
medication. Make fewer trips to Employee + 1 $3,000 Medical/Rx deductible
the pharmacy and avoid waiting Family $3,000 Medical/Rx deductible
in line. Your medication is shipped Prescription Drugs
directly to your home with standard Retail supply limit 30 days 30 days
shipping at no cost to you. Generic $10 copay $0 after deductible
Preferred $40 copay $0 after deductible
Pharmacists are available around Non-preferred $80 copay $0 after deductible
90 days
90 days
the clock to answer your questions. Mail order supply limit $20 copay $0 after deductible
Generic
With home delivery, you can go Preferred $80 copay $0 after deductible
online to compare medication Non-preferred $160 copay $0 after deductible
pricing, check the timing for
your next order and even set up Step Therapy
reminders to take your medication
on time. After clinical studies of many diferent drugs, CVS/Caremark has
selected certain drugs to be the irst options tried when treating some
conditions. These drugs have been selected as the “irst step” because
studies have shown they are proven to work well for most people and
are more afordable. Your pharmacy will alert you to the step therapy if
a prescription you present is included in a step therapy category.
Prior Authorization
Prior Authorization requirements help ensure drugs are used in
the proper way and in doses that are right for each person as
recommended by the U.S. Food and Drug Administration. While
most prescriptions can be illed immediately by the pharmacy, some
require further review. If you encounter a prescription that requires
prior authorization, your pharmacy will let you know and either
the pharmacy or your doctor will work with CVS/Caremark’s Prior
Authorization Center to determine if your prescription will be approved
as requested.
10 2020 Benefits Guide
