CARES Prescription Drug Programs

CARES Prescription Drug Programs


2016 Base/Buy-up Prescription Coverage Summary of Benefits
 
2017 Prescription Coverage Summary of Benefits
Prescription Drug Program
Prescription drug coverage is available to all CARES members through Express Scripts. In order to have your prescription filled present your Express Scripts card at the pharmacy. See below, for co-pay information. Claim Form
 
Mail Order Prescription Drug Program
Mail order prescription drug coverage is also available to all CARES members through the Express Scripts mail order program. This program has been designed with people who take prescription drugs on an on-going basis in mind. The medications are mailed to the employee's home and there is a discount on the 90-day supply: "60-days worth" for a 90-day supply. (Please see specific co-pay information, below.) In order to sign up for this benefit, please contact Express Scripts at (866)776-0056. Mail Order Form
 
Prescription Drug Co-Pays
Prescription drugs are classified into three categories: Generic, Brand and Non-formulary. The cost for CARES members to have prescriptions filled depends on what category their drug falls into and what prescription drug plan they elect:
 
 
Prescription Drug Program for Both Plans
30 Day, Retail Rx

2016 - Base Plan - Co-Pay Amounts

20% of Charges

2016

Buy-up  - Co-Pay Amounts

2017 Base Rx Plan Retail 
Generic $0 min - $15 max per Rx $10 $10
Brand  $20 min - $45 max per Rx $20 $35
Non-Formulary $50 min - $75 max per Rx $35 $50

Specialty Medication

At Accredo Specialty Pharmacy 

 

 

 

 

30-day supply $50 min - $75 max per Rx

60-day supply $100 min - $150 max per Rx

90-day supply $150 min - $225 max per Rx

 

 

 

$35

$70

$105

 

 

 

$100

 

 

 

 

 

 
90 Day, Mail Order Rx 20% of Charges, 3 months for price of 2 3 months for the price of 2  
Generic 90-day supply $0 min - $30 max per Rx $20 $20
Brand 90-day supply $40 min - $90 max per Rx $40 $70
Non-Formulary  90-day supply $100 min - $150 max per Rx $70  $100

Specialty Medication

At Accredo Specialty Pharmacy  

 30-day supply $50 min - $75 max per Rx

60-day supply $100 min - $150 max per Rx

90-day supply $150 min - $225 max per Rx

 

 $35

$70

$105

 

$100

 

$200

 


$4 Generic Prescription Drug Plans


Click on the links below to access the list of $4 generic prescription drugs available at Walmart stores.

Walmart/Sam's $4 Rx
 

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