Pharmacy Benefits - FY09
Caremark (off-site) is the University of Alaska's Pharmacy Benefit Manager (PBM). Your prescription drug program allows you to obtain medications via your local retail pharmacy, Caremark Mail Service Pharmacy for mail service, and Caremark Speciality Pharmacy for filling your speciality medications. Caremark Brochure
Since your prescription drug benefits are completely separate from your medical benefits, you will have both a medical ID card and a Prescription Drug Card. When having a prescription filled, you will need to present your Caremark Prescription Drug Card to your pharmacist.
Your Caremark Prescription Drug Card and additional information regarding your Caremark Drug Program will be mailed to your home after enrollment.
Caremark Mail Service Pharmacy
If you take certain medications on an ongoing basis, you can save money and time by having those medications filled by Caremark Mail Service Pharmacy. By having your prescriptions filled through Caremark Mail Service Pharmacy, you are able to obtain up to a 100-day supply of your medication, which eliminates multiple trips to your local retail pharmacy and saves you money.
Prior Authorization and Quantity Limits
Starting July 1, 2008, the pharmacy program will requires that CVS Caremark conduct a prior authorization and quantity limit reviews and provide authorization to your doctor before these selected drugs can be paid for by the pharmacy plan.
Coverage
All UA Choice plans now come with the same pharmacy benefit plan.
UA Choice Pharmacy Coverage
Pharmacy Benefits |
All UA Choice Plans |
Network Pharmacy: 30-day supply (charges do not apply to medical out-of-pocket maximum) |
$5 copay for generic (Tier 1) $20 copay for preferred name brand (Tier 2) $35 copay for non-preferred brand (Tier 3) |
| Home Delivery: 100-day supply (charges do not apply to medical out-of-pocket maximum) | $10 copay for generic (Tier 1) $40 copay for preferred name brand (Tier 2) $70 copay for non-preferred brand (Tier 3) |
Non-Network Pharmacy: (charges do not apply to medical out-of-pocket maximums) |
Pay retail price at time of purchase, submit claim form to be reimbursed at negotiated price less appropriate copayment |
All UA Choice pharmacy benefits subject to negotiated price limits. |
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