Pharmacy Benefits

You are eligible to use this prescription drug program if you are enrolled in the Active Employee Trust Plan. If you are enrolled in the Kaiser Permanente Plan, prescription benefits are provided by Kaiser Permanente. If you are enrolled in the Providence Health Plan, prescription benefits are provided by the Providence Health Plan. Click here for more information about the Kaiser Permanente Plan or the Providence Health Plan.

Four prescription drug options are available if you are enrolled in the Active Employee Plan. You decide which option to use at the time of purchase.



Mail Order CVS Caremark

The Plan offers a cost-saving prescription drug program for long-term maintenance medication through CVS Caremark.

This program provides:

  1. Prescriptions delivered to your address or the option of having a prescription delivered to a location of your choice; home, office, vacattion spot, etc.
  2. Lower out-of-pocket expense per prescription; and
  3. A 90-day supply.

CVS Caremark provides the following services:

  1. Pharmacists are available for consultation;
  2. Your doctor will be contacted when a prescription expires or you run out of refills; and
  3. Online access to check the status of your order.

Mail Order Prescription Copayments
SUMMARY OF BENEFITS
Copayment For Generics
Copayment For Brand Names
Copayment When Generic Available But Brand Name Selected
Prescription Drug Supply Maximum
$10
$60 or 20% of drug cost whichever is greater up to a $100 maximum
50% of cost of the brand name drug unless prescription is written "dispense as written"
Up to a 90-day supply

How to Order by Mail

1. When your doctor writes the prescription, please make sure your doctor writes LEGIBLY and check to see your doctor has included:

a. Exact quantity
b. Directions
c. Number of refills
d. DEA number
e. Doctor’s full name
f. Doctor’s telephone number

For inhalers, creams, drops, and other non-pill prescriptions make sure specific directions are indicated. For diabetic supplies, please specify brand and directions. For example:

a. Inhale two puffs every four hours
b. Place one drop in both eyes every 12 hours
c. One-Touch Comfort Curve Strips, test twice daily
d. Humulin-N, 50 units per day
e. Apply to rash twice daily for 10-days

2. Complete a Mail Service Order Form for new and/or refill orders. (You may obtain a mail order form here, or forms are available by contacting the Trust Office. New Order Forms should also be included in each prescription delivery.)

3. Send the mail service order form to CVS Caremark with:

a. New or refill prescriptions
b. Co-payment

Refills from other pharmacies - if you wish to transfer a prescription from another pharmacy include a sheet of paper with the following information:

a. Patient name
b. Medication name
c. Doctor name and phone number
d. Pharmacy name and phone number

For faster service have your doctor phone in your prescription or write a new prescription.

4. Mail your order to:

CVS Caremark
PO Box 94467
Palatine IL 60094-4467


Refills by Phone
Must be paid with a Credit Card only.

  1. Call the touch tone automated phone number: 1-800-378-5697 Option #1
  2. Available 24 hours per day/7 days a week
  3. Have the prescription number and credit card ready when you call

Refills by Internet
Log on to www.caremark.com - available 24 hours per day/7 days a week.

Prescription Delivery

Please allow two weeks for delivery from the date you mail your order. Most prescriptions will be delivered by US Postal Service. A re-order form/envelope, an invoice/receipt, renewal/refill cards will accompany each order.

In case of emergency prescriptions can be shipped overnight for an additional fee.
For maintenance drugs you need to start taking right away, ask your doctor for two prescriptions: one for a small supply to be filled at your local pharmacy and one for the mail service pharmacy.


Payment
1. Make checks or money orders payable to: Caremark. Please write your plan participant ID number on the check.
2. Credit cards accepted: Visa, MasterCard, American Express, Discover
3. Please do not send cash.

Prescription Expiration Date
Most prescriptions, including refills, expire one year or sooner from the date they are written. A pharmacist will contact your doctor when your prescriptions expire or run out of refills.

CBS Caremark - IMPORTANT CONTACTS
Customer Service
For questions about your order or to speak to a pharmacist
800-875-0867
24 hours a day, 7 days a week
Refill Phone Line
(Touch tone phone)
English: 1-800-378-5697 Option #1
Refill by Internet www.caremark.com
Mailing Address

CVS Caremark
PO Box 94467
Palatine, Il 60094-4467

Limitations on the 90-day Supply Maximum
Your prescription(s) may be filled for up to a 90-day supply maximum, when permitted by your doctor, the law and in accordance with the pharmacy practice. Some medications may be dispensed only for the exact quantity the doctor prescribed. These medications include, but are not limited to: controlled substances, antidepressants and migraine medications.