Prescription Drug Benefits

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As of July 1, 2013, prescription drug benefits are administered by CVS Caremark. Prescriptions can be filled through your local retail pharmacy or by using the CVS Caremark Mail Service Pharmacy*.

Question: What are the co-payments for prescription drugs?
Answer: If you use a retail pharmacy, your co-payments are $10.00 per 30-day supply for generic drugs, and $20.00 per 30-day supply for brand name drugs. If you use the mail order program, your co-payments are $20.00 per 90-day supply for generic drugs, and $40.00 per 90- day supply for brand name drugs.

Question: Is prior authorization required for any prescription drugs?
Answer: Yes, some prescription drugs do require prior authorization from the Fund Office in order to be covered. Please refer to your Welfare Trust Fund Summary Plan Description for details.

Question: Can I use my local pharmacy for all prescriptions?
Answer: Yes. Under our arrangement with CVS Caremark, you can now fill maintenance drug prescriptions (up to a 90-day supply) at your local CVS pharmacy*. Please remember that the plan has a mandatory maintenance drug policy that requires you to use the CVS Caremark Mail Service Pharmacy. Maintenance drugs are those that will be taken over long periods of time (at least 90-days).

Question: If I purchase a prescription can I be reimbursed?
Answer: Yes. Please contact the Eligibility/Enrollment Department for a reimbursement form or print it from here and mail it to the address shown on the form.

Local 282 IBT · 2500 Marcus Ave · Lake Success, NY 11042

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