Highlights of the Trust Prescription Drug Plan


Features
Who is eligible	Members of the PFSP bargaining unit covered by the Trust and enrolled in: Full-Time/Part-Time Option 1 — Providence Personal Option Plan Part-Time Option 2 — Providence Personal Option Plan Members of the DCU/ATU bargaining unit covered by the Trust and enrolled in: Full-Time — Providence Personal Option Plan
What the plan covers	Retail prescriptions purchased at participating pharmacies or any other retail pharmacy Mail order prescriptions purchased through the designated mail order service
What the plan pays	Participating retail pharmacies —100% after you pay a copayment for each 34-day supply (see "Copayments at Participating Retail Pharmacies" for details) Nonparticipating retail pharmacies — 80% after you pay an annual deductible of $50 per covered person. You must pay the entire cost at the time of purchase and file a claim for reimbursement Mail order service — 100% after you pay a copayment for each 90-day supply (See "CVS Caremark Mail Order Service Copayments" for details)