Prescription Drug Coverage
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Both the HMO and Comp-Care plans offer a prescription drug card program. Available from participating pharmacies - locally and throughout the United States - generic prescriptions cost $10, brand-name (formulary) prescriptions cost $25 and optional brand name (non-formulary) prescriptions cost $40 for a supply of up to 30 days. Certain maintenance-type medications are available in supplies of up to 90 days ($20 generic, $50 brand name (formulary) and $80 optional brand name (non-formulary) when purchased by mail-order (see below). The Complete Anthem Prescription Drug List/Formulary lists FDA approved brand-name and generic medications. Anthem prescription drug benefits can offer potential savings, when your physician prescribes medications on the drug list/formulary. Some prescriptions require prior authorization, step therapy (requires you use a specific medication before alternative therapies may be tried or prescribed, please check the formulary for a list of these drugs), may limit the quantity you may obtain, or dose optimization (involves the conversion from twice-daily dosing to a once-daily dosing schedule.) The drug list/formulary will help you in determining the co-pay of most prescriptions. If you have any questions about your co-pay, call Mary Nelson, Benefits Specialist, x5503, for assistance. Anthem Rx Direct Mail Secure Pharmacy provides the following benefits:
Save on Generic Drugs Several large retailers now offer savings on prescriptions for generic drugs: $4 per month or as little as $10 for a three month supply! Click the links below for the latest details and lists of covered drugs.
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