Health Care
Prescription Drug (2009)
| Prescription Drug Program through Caremark |
In-Network or Out-of-Network
(out-of-network reimbursement based on in-network price) |
| Retail Network Pharmacy |
You pay: 30% per prescription/refill for up to a 30-day supply
For maintenance drugs after first three fills: you pay 50% (minimum $10
generic, $20 brand name), which is not subject to $50 maximum cost per prescription
and not counted toward the annual out-of-pocket maximum.
|
| Mail-Order Service |
Intended for prescription drugs you take on a longer-term regular basis (maintenance medications)
Your maximum cost per prescription: $100 (per 90-day supply)
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With FastStart you or your doctor can call Caremark at 1-800-875-0867 to place your order. And you can pick up your maintenance prescription at your local CVS pharmacy or have it mailed to you.
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If you have questions about using the mail-order service, go to Caremark or call 1-866-KRAFT-RX (1-866-572-3879).
|
| Annual Out-of-Pocket Maximum |
You pay: $1,000 per person/$2,000 per family (separate from the medical maximum)
Expenses for maintenance prescriptions filled at retail for the fourth and subsequent fills do not apply to the annual out-of-pocket maximum.
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| Lifetime Maximum for Infertility Drugs |
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| Prescription Weight-Loss Medications |
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For more information, see MyBenefits Online.
Also consider …
How the Plan Works
Paying Prescription Drug Expenses Through Your HRA
Retail Pharmacy vs. Mail Order
When to Use Mail Order