Effective September 1, 2008, your prescription drug benefits are administered by Caremark. For questions about your benefits or claims information contact Caremark at (888) 886-8490 or visit Caremark's web site.
You will receive a new pharmacy ID card from Caremark shortly before September 1, 2008 for you and your covered dependents. You will need this new pharmacy ID card when picking up your prescriptions starting September 1, 2008.
For prescriptions prior to September 1, 2008, Medco was the prescription drug administrator.
Benefits Summary Effective September 1, 2008
Copayment amounts assume that the $50 Plan Year Deductible has been satisfied.
| Drug Category | *Retail |
*Retail Maintenance |
Mail-Order |
| Tier 1 | $10 |
$15 |
$30 |
| Tier 2 | $25 |
$35 |
$75 |
| Tier 3 | $40 |
$55 |
$120 |
| *Participating pharmacies. For more information on coverage for non-participating pharmacies, refer to your HealthSelect Benefits Book. | |||
Caremark Prescription Drug Claims Forms
For your convenience, we've provided the following links to Caremark's web site.
