Page 12 - Intertek 2021 Benefits Guide
P. 12
Home Delivery Step Therapy
You could save money by ordering up to a 90- After clinical studies of many diferent drugs, CVS/
day supply of medication. Make fewer trips to the Caremark has selected certain drugs to be the
pharmacy and avoid waiting in line. Your medication irst options tried when treating some conditions.
is shipped directly to your home with standard These drugs have been selected as the “irst step”
shipping at no cost to you. because studies have shown they are proven to
work well for most people and are more afordable.
Pharmacists are available around the clock to Your pharmacy will alert you to the step therapy
answer your questions. With home delivery, you if a prescription you present is included in a step
can go online to compare medication pricing, check therapy category.
the timing for your next order and even set up
reminders to take your medication on time. Prior Authorization
Classic PPO CDHP Prior Authorization requirements help ensure
In-Network In-Network drugs are used in the proper way and in doses
Out-of-Pocket Prescription that are right for each person as recommended
Maximum Only by the U.S. Food and Drug Administration. While
Employee $1,500 Medical/Rx deductible
Employee + 1 $3,000 Medical/Rx deductible most prescriptions can be illed immediately by
Family $3,000 Medical/Rx deductible the pharmacy, some require further review. If
Prescription Drugs you encounter a prescription that requires prior
Retail supply limit 30 days 30 days authorization, your pharmacy will let you know
Generic $10 copay $0 after deductible
Preferred $40 copay $0 after deductible and either the pharmacy or your doctor will work
Non-preferred $80 copay $0 after deductible with CVS/Caremark’s Prior Authorization Center to
Mail order supply limit 90 days 90 days determine if your prescription will be approved as
Generic $20 copay $0 after deductible
Preferred $80 copay $0 after deductible requested.
Non-preferred $160 copay $0 after deductible
12
You could save money by ordering up to a 90- After clinical studies of many diferent drugs, CVS/
day supply of medication. Make fewer trips to the Caremark has selected certain drugs to be the
pharmacy and avoid waiting in line. Your medication irst options tried when treating some conditions.
is shipped directly to your home with standard These drugs have been selected as the “irst step”
shipping at no cost to you. because studies have shown they are proven to
work well for most people and are more afordable.
Pharmacists are available around the clock to Your pharmacy will alert you to the step therapy
answer your questions. With home delivery, you if a prescription you present is included in a step
can go online to compare medication pricing, check therapy category.
the timing for your next order and even set up
reminders to take your medication on time. Prior Authorization
Classic PPO CDHP Prior Authorization requirements help ensure
In-Network In-Network drugs are used in the proper way and in doses
Out-of-Pocket Prescription that are right for each person as recommended
Maximum Only by the U.S. Food and Drug Administration. While
Employee $1,500 Medical/Rx deductible
Employee + 1 $3,000 Medical/Rx deductible most prescriptions can be illed immediately by
Family $3,000 Medical/Rx deductible the pharmacy, some require further review. If
Prescription Drugs you encounter a prescription that requires prior
Retail supply limit 30 days 30 days authorization, your pharmacy will let you know
Generic $10 copay $0 after deductible
Preferred $40 copay $0 after deductible and either the pharmacy or your doctor will work
Non-preferred $80 copay $0 after deductible with CVS/Caremark’s Prior Authorization Center to
Mail order supply limit 90 days 90 days determine if your prescription will be approved as
Generic $20 copay $0 after deductible
Preferred $80 copay $0 after deductible requested.
Non-preferred $160 copay $0 after deductible
12
