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    Prescription Drug
        Highlights of the Trust Prescription Drug Plan
        How the Trust Prescription Drug Plan Works
         Retail Prescription Drugs
        
Mail Order Prescription Drugs
         SpecialtyRx Program
         When Preauthorization Is Required
         Special Coordination of Benefits
         Medications Purchased Outside the United States
        What's Not Covered
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Mail Order Prescription Drugs
You may use the CVS Caremark mail order service, whenever you or a covered dependent needs a maintenance prescription for an ongoing condition such as asthma, diabetes, high blood pressure or heart disease. You will pay the following copayments:
CVS Caremark Mail Order Service Copayments
If you are enrolled in this medical plan:
Your CVS Caremark Mail Order Service copayments are:
Full-Time/Part-Time Option 1:
  • Trust Preferred Provider Plan (Regence)
  • Providence Personal Option Plan
For each 90-day supply, you'll pay:
  • $20 for generic drugs
  • $40 for brand-name drugs
Part-Time Option 2:
  • Trust Indemnity Medical Plan (Regence)
  • Providence Personal Option Plan
For each 90-day supply, you'll pay:
  • $5 for generic drugs
  • $10 for brand-name drugs
Substitute Teachers:
  • Providence Personal Option Plan
For each 90-day supply, you'll pay:
  • $5 for generic drugs
  • $10 for brand-name drugs
These copayments apply only to the mail order service. The Trust Prescription Drug Plan does not cover prescription drugs purchased through any other mail order service.
Generic Substitution
Unless your doctor specifies your prescription must be "dispensed as written," CVS Caremark will automatically substitute an approved generic drug for a brand-name drug when available and legally permissible. If you request the brand-name drug in this event, you'll pay the brand name copayment plus the difference in cost between the brand-name drug and its generic equivalent.
For example — For members whose mail order service copayments are $5 for generic and $10 for brand-name drugs:
If the generic drug costs $50 and the brand-name drug costs $150, you would pay a $10 copayment for the brand-name drug plus the $100 difference in cost, or a total of $110 (instead of a $5 copayment for the generic drug).
For example — For members whose mail order service copayments are $20 for generic and $40 for brand-name drugs:
If the generic drug costs $50 and the brand-name drug costs $150, you would pay a $40 copayment for the brand-name drug plus the $100 difference in cost, or a total of $140 (instead of a $20 copayment for the generic drug).
If the cost of a prescription is less than the copayment, you pay the lesser amount.
How to Order Initial Prescriptions
Call CVS Caremark at (800) 552-8159 for...
Follow these steps to start a maintenance prescription:
1. Ask your doctor for two written prescriptions—one for a month's supply that you can fill right away at a retail pharmacy to get you started, and one for a 90–day supply with refills that you can order from CVS Caremark.
2. Complete a CVS Caremark order form. You can request the order form by calling the Trust Office at (844) 203-0239 or visit the CVS Caremark web site at https://www.caremark.com/wps/portal. From the CVS Caremark web site home page, select Print Plan Forms, then select Mail Service Order Form. Print and complete the form. Be sure to provide all requested information and attach the original prescription for each medication you are ordering.
3. Enclose your copayment for each prescription. You may pay by check or money order or by providing your Visa, MasterCard, Discover or American Express card number and expiration date.
Your order will be delivered to your home via U.S. first-class mail, UPS or Federal Express.
How to Order Refills
Follow these steps to order refills from CVS Caremark:
  • Order refills at least two weeks (for telephone, fax or online orders) or three weeks (for orders by U.S. mail) before you expect to run out of a medication. This will allow ample time for your order to be processed and delivered to you.
  • Order in any of the following ways:
    • Order online at https://www.caremark.com/wps/portal. From the CVS Caremark web site home page, select Refill Prescriptions & Check Order Status. Follow the instructions to refill a prescription.
    • Call CVS Caremark at (800) 552-8159.
    • Mail CVS Caremark a completed order form.
If you order by phone or the Internet, your copayment must be charged to a credit card.
 
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