Prescription Drugs

        DESCRIPTION

        This benefit is available through a retail prescription drug card program administered by Express Scripts, Inc. You will need to show your Express Scripts prescription ID card to the participating pharmacist in order to receive prescription drug benefits. When you do, you will pay $5.00 generic and $15.00 brand for each supply (lesser of 34 days or 100 unit doses). There will be a $75.00 co-payment on all injectible prescription drugs, except insulin.
        Your prescription will be filled with an "A" rated generic drug except when a drug is not available in the generic form or when your physician writes "DAW" (dispense as written) on your prescription. 
        A generic drug has the identical chemical composition of a brand-name drug. Generic drugs undergo the same tests and must meet the same requirements as brand name drugs.

        ELIGIBLE DRUGS.

    The following drugs are covered under your Plan:     

        1 . federal legend prescription drugs;

        2. drugs requiring a prescription under the applicable state law;

        3. insulin, insulin syringes and needles;

        4. diabetic test strips;

        5. oral contraceptives (employee/spouse only);

        6. vitamins for infants to 12 months; and

        7. pre-natal vitamins requiring a prescription.

        DRUGS NOT ELIGIBLE.

    The following drugs are not covered under the Plan:

        1 . non-legend drugs other than insulin;

        2. therapeutic devices or appliances;, support garments and other non- medical substances;

        3. drugs intended for use in a physician's office or another setting other than home use;

        4. investigational or experimental drugs, including compounded medications for non-FDA approved use;

        5. prescriptions which an eligible person is entitled to receive without charge under any workers' compensation law, or any municipal, state, or federal program;

        6. oral contraceptives (age 20 years and under);

        7. vitamins (other than specified) and dietary supplements;

        8. fertility medications;

        9. anorexiants;

      10. Retin-A (age 26 and over); and

      11. growth hormones (unless prior authorization from Suburban NY Regional Council of Carpenters Welfare Fund is obtained).

MAIL ORDER PRESCRIPTION PROGRAM  is also available

EXPRESS SCRIPT