Page 10 - Guide
P. 10
2017 BENEFITS ENROLLMENT
Pharmacy
Mail Order Program Generic vs. Brand
The mail order program is When members elect to purchase brand name drugs that have generic
designed for those that take equivalents, they will be required to pay a higher copay plus a penalty.
maintenance drugs on a regular The penalty is the difference in cost between the brand and the generic
basis. You may be able to drug. The additional penalty does not apply to those prescriptions that are
receive a 90 day supply for 2.5 issued by your doctor as Dispense as Written (DAW). This means if your
copays, plus the convenience doctor requires you to have the brand name as opposed to the generic
of your prescription mailed to then you will not be charged the penalty. Generic drugs usually cost less
your home for no additional than brand name medications and the Food and Drug Administration
cost. Mail order information is (FDA) rates them to be just as safe and effective as brand name drugs. So,
available online (www.UMR.com). if your doctor prescribes a brand name medication, ask if you could use
Members also have access to their a generic drug instead before you ill your prescription at a pharmacy. If
pharmacy information through not, ask your doctor to write your prescription as “Dispense as Written.”
www.UMR.com. Just register and
log-in to your UMR account and Optum Rx Contact Information
click on the “myPharmacyCenter” Optum Rx’s team of dedicated Customer Service Representatives, many
tab. If you would like to start of whom are certiied pharmacy technicians, can assist you with any
using this program, please ill of your pharmacy questions. The Customer Service Center is available
out a registration form available 24-hours a day, 7 days a week. Their phone number is 877.559.2955.
online and submit it to OptumRx.
New mail order prescriptions In-Network Prescription Drug Benefits
will usually arrive within three Retail (30 day Mail (90 day
weeks of placing an order. Going supply) supply)
forward, reills usually arrive within Tier 1 (generics) $10 copay $25 copay
two weeks. We recommend you Tier 2 (brands/preferred brands) $30 copay $70 copay
place your order at least two weeks Tier 3 (brands/ non-preferred $45 copay $112.50 copay
brands)
before you need your medication.
10 MOTOMART
Pharmacy
Mail Order Program Generic vs. Brand
The mail order program is When members elect to purchase brand name drugs that have generic
designed for those that take equivalents, they will be required to pay a higher copay plus a penalty.
maintenance drugs on a regular The penalty is the difference in cost between the brand and the generic
basis. You may be able to drug. The additional penalty does not apply to those prescriptions that are
receive a 90 day supply for 2.5 issued by your doctor as Dispense as Written (DAW). This means if your
copays, plus the convenience doctor requires you to have the brand name as opposed to the generic
of your prescription mailed to then you will not be charged the penalty. Generic drugs usually cost less
your home for no additional than brand name medications and the Food and Drug Administration
cost. Mail order information is (FDA) rates them to be just as safe and effective as brand name drugs. So,
available online (www.UMR.com). if your doctor prescribes a brand name medication, ask if you could use
Members also have access to their a generic drug instead before you ill your prescription at a pharmacy. If
pharmacy information through not, ask your doctor to write your prescription as “Dispense as Written.”
www.UMR.com. Just register and
log-in to your UMR account and Optum Rx Contact Information
click on the “myPharmacyCenter” Optum Rx’s team of dedicated Customer Service Representatives, many
tab. If you would like to start of whom are certiied pharmacy technicians, can assist you with any
using this program, please ill of your pharmacy questions. The Customer Service Center is available
out a registration form available 24-hours a day, 7 days a week. Their phone number is 877.559.2955.
online and submit it to OptumRx.
New mail order prescriptions In-Network Prescription Drug Benefits
will usually arrive within three Retail (30 day Mail (90 day
weeks of placing an order. Going supply) supply)
forward, reills usually arrive within Tier 1 (generics) $10 copay $25 copay
two weeks. We recommend you Tier 2 (brands/preferred brands) $30 copay $70 copay
place your order at least two weeks Tier 3 (brands/ non-preferred $45 copay $112.50 copay
brands)
before you need your medication.
10 MOTOMART
