Prescription Drug Plan - Administered by Pharmacare

Prior to January 1, 2008 Benefits & Eligibility administered by A&I Benefit Plan Administrators, Inc.

Plan Overview

A&I administers the Select and Choice Medical Plans prior to January 1, 2008. We have also provided overviews of the Rx, Dental and Vision Plans as well. You can view highlights of these Plans by clicking on the tabs below.

Prescription Drug Plan

The Select and Choice PPO plans offer two ways to save money on prescription drugs - through retail pharmacies and the mail order service. Both are administered by PharmaCare Management Services, Inc . Click on the tabs below for details.

Mail Order Pharmacy Service

Maintenance medications taken on a regular basis for conditions such as high blood pressure or diabetes can also be filled through the PharmaCare mail order service and mailed directly to your home. You can place your order by completing a Mail Service Enrollment Form, registering online at www.pharmacare.com, or by calling the mail order customer service at (888) 645-9303.

Prescription Drugs	Plan 1-Select Plan	Plan 2 Choice Plan PPO (Managed Healthcare Northwest Providers)	Plan 2-Choice Plan PPO (Any Provider)
Mail Order 90-Day Supply *	Prescription drug purchases ordered through mail order vendor. Generic: $30 Preferred Brand: $60 Non-Preferred Brand: $100	Prescription drug purchases ordered through mail order vendor. Generic: $30 Preferred Brand: $60 Non-Preferred Brand: $100	Not covered. Must use mail order vendor (see in‑network)
Prescription Drug Annual Out-of-Pocket Maximum (Applies to Retail and Mail Order Drugs)	$2,000 per individual	$2,000 per individual	$2,000 per individual

*By law, PharmaCare must fill your prescription for the exact quantity of medication prescribed by your health care provider, up to the 90‑day plan limit. “30 days plus 2 refills” does not equal one prescription written for “90 days.” Be sure your health care provider writes the prescription accurately.

Mandatory Generic Requirement: All prescriptions filled under the retail or mail order prescription drug program will be automatically filled with the generic version of medication (if one is available). Otherwise, you will be charged the difference in the price between the brand-name and generic version of that medication, pus the generic copay.

THE LISTING OF PREFERRED BRAND DRUGS CAN BE OBTAINED FROM THE HUMAN RESOURCE DEPARTMENT OR YOU MAY REQUEST THE LIST FROM PHARMACARE.

Important note: You will pay the non-preferred drug co-payment if a generic or preferred brand name drug is not available.