Page 11 - 2017 US Benefits Guide - for all Capgemni employees in the FS SBU
P. 11
Prescription Drug Coverage When you ill a prescription for a step therapy medication, you and
your physician will receive a letter explaining what needs to be done
Both Medical Plans provide the same prescription drug coverage. before you reill that medication. This might include trying a lower cost
When you reill your prescriptions at in-network pharmacies, you pay alternative or seeking authorization from CVS Caremark for continued
a co-insurance. When you use out-of-network pharmacies, you will coverage of the original medication. At any time, your physician can
pay the actual cost of the drug. request authorization to continue coverage for a step therapy
Each time you ill a prescription, you could save money by asking for a medication for medical reasons.
generic medicine. Generic medications have the same active
ingredients and efectiveness as their brand-name counterparts, but for Preventive Medications Available to You at No Cost
a lower price. Check with your doctor to see if a generic alternative is Under our Medical Plans, certain types of preventive care are covered
right for you. 100% and are provided at no cost to you. This includes certain
categories of prescription drugs as well as speciic over-the-counter
Mail Order Drug Program medications. A partial list is provided below. For a complete list,
The Mail Order Drug Program can help you save money and time when visit www.caremark.com or call the number on the back of your
illing prescriptions for a 90-day supply of a drug. Compared to using ID card. You should consult with your doctor about choosing
a retail pharmacy, the mail order program lets you purchase three times medications that are right for you.
the medication for only two times the price, and your prescription is ➤ Aspirin Products (including Aspirin, Baby Aspirin, Bayer
mailed directly to your home.
Children’s Aspirin, Buferin, Doan’s Regular, Ecotrin, St. Joseph
You may purchase a 90-day supply of maintenance medication at Aspirin) Available to males age 45 to 79 and females age 55 to 79.
network pharmacies. To locate a network pharmacy, visit
www.caremark.com . If you prefer, you may conveniently purchase ➤ Barrier Contraception (including Encare, Femcap, Reality, Today
your maintenance medications through CVS Caremark Mail Order. Contraceptive Sponge, VCF) Available to females.
➤ Emergency Contraception (including Ella, Levonorgestrel,
Step Therapy Program for Select Medications Next Choice) Available to females.
Step therapy is the practice of using the most cost-efective and safe
drug to treat a medical condition before other more costly or risky ➤ Folic Acid Supplements (including KPN, Mission Prenatal, One-a-
therapies are used. This approach ensures you have access to the Day Women’s Prenatal DHA) Available to females. Only products
treatments you need while ofering you valuable cost savings. CVS containing from 0.5 mg – 0.8 mg of folic acid are included.
Caremark ofers step therapy for three common ongoing medical ➤ Hormonal Contraception (including Altavera, Camila, Errin,
conditions: Gianvi, Heather, Jolessa, Solia, Zeosa) Available to females.
➤ High blood pressure (ACE/ARB drug class) ➤ Pediatric Multivitamins containing fluoride and fluoride
➤ Stomach acid (PPI drug class) supplements (including Epilur, Fluorotab, Luride, Poly-Vi-Flor,
➤ High cholesterol (Statin drug class) Renaf, Sodium Fluoride) Available to males and females age six
months to six years.
➤ Pediatric Iron-Containing Products (including Children’s Ferrous
Sulfate, Children’s Iron, Fer-In-Sol, Fer-Iron, Ferrous Sulfate, Icar,
Wee Care) Available to males and females age 6 to 12 months.
CAPGEMINI 2017 BENEFITS GUIDE 8
your physician will receive a letter explaining what needs to be done
Both Medical Plans provide the same prescription drug coverage. before you reill that medication. This might include trying a lower cost
When you reill your prescriptions at in-network pharmacies, you pay alternative or seeking authorization from CVS Caremark for continued
a co-insurance. When you use out-of-network pharmacies, you will coverage of the original medication. At any time, your physician can
pay the actual cost of the drug. request authorization to continue coverage for a step therapy
Each time you ill a prescription, you could save money by asking for a medication for medical reasons.
generic medicine. Generic medications have the same active
ingredients and efectiveness as their brand-name counterparts, but for Preventive Medications Available to You at No Cost
a lower price. Check with your doctor to see if a generic alternative is Under our Medical Plans, certain types of preventive care are covered
right for you. 100% and are provided at no cost to you. This includes certain
categories of prescription drugs as well as speciic over-the-counter
Mail Order Drug Program medications. A partial list is provided below. For a complete list,
The Mail Order Drug Program can help you save money and time when visit www.caremark.com or call the number on the back of your
illing prescriptions for a 90-day supply of a drug. Compared to using ID card. You should consult with your doctor about choosing
a retail pharmacy, the mail order program lets you purchase three times medications that are right for you.
the medication for only two times the price, and your prescription is ➤ Aspirin Products (including Aspirin, Baby Aspirin, Bayer
mailed directly to your home.
Children’s Aspirin, Buferin, Doan’s Regular, Ecotrin, St. Joseph
You may purchase a 90-day supply of maintenance medication at Aspirin) Available to males age 45 to 79 and females age 55 to 79.
network pharmacies. To locate a network pharmacy, visit
www.caremark.com . If you prefer, you may conveniently purchase ➤ Barrier Contraception (including Encare, Femcap, Reality, Today
your maintenance medications through CVS Caremark Mail Order. Contraceptive Sponge, VCF) Available to females.
➤ Emergency Contraception (including Ella, Levonorgestrel,
Step Therapy Program for Select Medications Next Choice) Available to females.
Step therapy is the practice of using the most cost-efective and safe
drug to treat a medical condition before other more costly or risky ➤ Folic Acid Supplements (including KPN, Mission Prenatal, One-a-
therapies are used. This approach ensures you have access to the Day Women’s Prenatal DHA) Available to females. Only products
treatments you need while ofering you valuable cost savings. CVS containing from 0.5 mg – 0.8 mg of folic acid are included.
Caremark ofers step therapy for three common ongoing medical ➤ Hormonal Contraception (including Altavera, Camila, Errin,
conditions: Gianvi, Heather, Jolessa, Solia, Zeosa) Available to females.
➤ High blood pressure (ACE/ARB drug class) ➤ Pediatric Multivitamins containing fluoride and fluoride
➤ Stomach acid (PPI drug class) supplements (including Epilur, Fluorotab, Luride, Poly-Vi-Flor,
➤ High cholesterol (Statin drug class) Renaf, Sodium Fluoride) Available to males and females age six
months to six years.
➤ Pediatric Iron-Containing Products (including Children’s Ferrous
Sulfate, Children’s Iron, Fer-In-Sol, Fer-Iron, Ferrous Sulfate, Icar,
Wee Care) Available to males and females age 6 to 12 months.
CAPGEMINI 2017 BENEFITS GUIDE 8
