New Pharmacy Benefit Manager

Effective Jan. 1, 2012, the pharmacy benefits manager for all health insurance plans (except CHP Medicare Advantage) will be Medco.

Here are some of the details regarding this change:

 

Current plan provisions generally remain the same. For PPO Plan members, this includes required mail-order for maintenance prescription drugs after three retail pharmacy fills.

 

HMO participants are not required to utilize mail order for maintenance prescriptions but are welcome to take advantage of the program for the cost savings. You receive a 90-day supply of medicine for the cost of a 60-day supply.

 

Medco's preferred drug list and maintenance drug list may vary from your current list, which means copayment tiers for certain brand-name prescriptions may change. Visit

Medco's website for the State Employees' Prescription Drug Planfor more information.

 

For existing mail-order customers, Medco will coordinate with your current pharmacy benefits manager to transfer any open and eligible mail-order prescriptions. Some medications (such as controlled substances or compound medications) may require a new prescription from your doctor.

 

For information about Medco's mail-order process, call (877) 531-4793 or visit

Medco's website for the State Employees' Prescription Drug Plan. Starting Jan. 1, 2012, Prescription Drug Plan members should log in to Medco's website.

 

Medco does not participate with Walgreens for filling retail prescriptions so in order to qualify for the Medco co-pay you will need to transfer your prescriptions from Walgreens to another retail pharmacy effective Jan. 1, 2012.

 

Look for your new prescription drug plan member ID cards in the mail in Dec. Remember to show your card when you have a prescription filled on or after Jan. 1, 2012.

 

For more information, click here.

 

For more information, contact your Service Center Benefit Representative, or your Regional HR office if you have additional questions regarding this year's open enrollment period Nov. 7 - 18.