Welcome to Caremarks Prescription Drug Program!
Your prescription drug benefit will be administered by Caremark beginning January 1,1999. The program enables you to purchase prescription drugs at a Retail Pharmacy or through Caremarks Mail Service Pharmacy.
|RETAIL PROGRAM||MAIL SERVICE PROGRAM|
|WHEN TO USE IT||For Immediate drug needs or short-term medications||For maintenance or long-term medications|
|YOU PAY||· $0.00 for
each generic prescription
·$6.00 brand name for each brand name prescription with no generic prescription available
·Difference in cost for each brand name prescription with a generic available
|· $0.00 for
each generic prescription
·$6.00 for each brand name prescription
|DAYS SUPPLY LIMIT||34-day supply||90-day supply|
|REFILL LIMIT||No limit||No limit|
CAREMARK CUSTOMER SERVICE
How to use Your Retail Program
Your Out-of-Pocket Expense for Retail Service at a Caremark Participating Pharmacy:
|$0.00 for generic prescriptions, up to a 34-day supply|
|$6.00 for brand name prescriptions when no generic available, up to a 34-day supply|
|Difference in the cost for brand name prescriptions with a generic available, up to a 34-day supply|
Using a Caremark Participating Pharmacy
Caremarks Retail Program includes over 51,000 participating pharmacies nationwide, and more than 20,000 independent community pharmacies.
Using a Non-Participating Pharmacy
In most cases, you will not need to visit a nonparticipating pharmacy because there are over 51,000 participating pharmacies in the Caremark program. However, if you choose to go to a nonparticipating pharmacy, you will pay 100 percent of the prescription price. You will then need to submit a paper claim form, along with the original prescription receipt(s) to Caremark for reimbursement of covered expenses. This option will cost you more.
How To Use Your Mail Service Program
Your Out-of Pocket Expense for Caremark Mail Service:
|$0.00 for generic prescriptions, up to a 90-day supply|
|$6.00 for brand name prescriptions, up to a 90-day supply|
Caremarks Mail Service Program provides a convenient and cost-effective way for you to order up to a 90-day supply of maintenance or long-term medication for direct delivery to your home. Follow this easy step-by-step ordering procedure.
|one, for up to a 90-day* supply plus refills, to be ordered through the Mail Service Program.|
|the other, to be filled immediately at a Caremark Participating Pharmacy for use until you receive your prescription order from the Mail Service Program.|
|Your payment is payable by check, money order or credit card. For credit card payments, simply include your Visa, Discover or MasterCard number and expiration date, in the space provided, on the Mail Service Patient Profile/Order Form.|
|You will receive your prescription within 14 days after Caremark receives your order.|
|You will receive a new Mail Service Patient Profile/Order Form and pre-addressed envelop with each shipment.|
Mail Service Refills
You can receive refills on maintenance medication by phone or mail. Order three weeks in advance your current prescription running out. Suggested refill dates will be included on the prescription label you receive from Caremark.
1. Request Use a touch-tone phone to call toll-free 1-800-378-0972 to order prescription refills or inquire about the status of your order. Caremarks fully automated refill phone service available 24 hours a day. When you call, be ready to provide:
|Your social security number or member ID.|
|Members year of birth.|
|Your VISA, Discover or MasterCard number, with expiration date.|
Check your prescription before leaving your doctors office to make sure that:
·the doctors name is legible
·the doctors phone number and address are on the prescription
·the exact daily dosage is indicated
·the exact strength is indicated
·the exact quantity with number of refills is indicated
·the full first name and last name of the patient are legible
Money Saving Tips
$Use a Caremark Participating Pharmacy. Remember, if you use a non-participating retail pharmacy, you will pay full price for each prescription and will need to submit a claim form to Caremark. However, reimbursement for your prescriptions will depend on your specific plan coverage.
$Ask for generics. By law, both brand name drugs and generic drugs must meet the same
standards for safety, purity, strength and quality.
$Remind your doctor to write "90-day supply", when clinically appropriate, for maintenance medications that are purchased through Caremarks Mail Service Program. By law, Caremark must fill your prescription for the exact quantity of medication that your doctor prescribes, up to the 90 day plan limit.
Call Caremark Customer Service
7:00 a.m. to 9:00 p.m., (CST)
Saturday 8:00 a.m. to 12:00 p.m., (CST)
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