You are eligible to use this prescription drug program if you are enrolled in the Early Retiree Plan. If you are less than 65 years of age and not eligible for the Early Retirement Plan you must select the Kaiser or Providence options, unless you are not within either of their service areas.

Four prescription drug options are available in this program. You decide which option to use at the time of purchase.

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, vacation 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 order status.
   

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 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

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.