2008 Prescription Drug Benefits
 

For 2008, prescription drug benefits will be available through Wellpoint NextRx, affiliated with Anthem Blue Cross and Blue Shield.  To receive prescription drug benefits under the health plan, covered employees must present their Anthem ID card to the dispensing pharmacist at the time of filling of the prescription.  Some prescriptions require prior authorization before Wellpoint NextRx will allow benefits.  Click here to read about the prior authorization program.

In 2008, co-payments will not apply to prescription drugs.  All prescription drugs will be subject to your plan deductible and then your 20% cost share responsibility.  Remember that you can use your health savings account or medical reimbursement account dollars to pay for prescription drug costs. 


At the Pharmacy:

Plan A

Tier 1 Subject to plan deductible and then 20% cost share
Tier 2 Subject to plan deductible and then 20% cost share
Tier 3 Subject to plan deductible and then 20% cost share
Tier 4 Subject to plan deductible and then 20% cost share

Plan B

Tier 1 Subject to plan deductible and then 20% cost share
Tier 2 Subject to plan deductible and then 20% cost share
Tier 3 Subject to plan deductible and then 20% cost share
Tier 4 Subject to plan deductible and then 20% cost share

Contact information for prescription drug services:

Wellpoint NextRx Pharmacy Benefit Management:
Customer Service Phone - 1-800-490-6145
Pharmacist Assistance Line - 1-800-655-1936
 

Mail Order:

Covered employees can order prescription drugs by mail order in amounts up to a ninety (90) day supply or three hundred (300) units, whichever is less.

Plan A

Tier 1 Subject to plan deductible and then 20% cost share
Tier 2 Subject to plan deductible and then 20% cost share
Tier 3 Subject to plan deductible and then 20% cost share
Tier 4 Subject to plan deductible and then 20% cost share

Plan B

Tier 1 Subject to plan deductible and then 20% cost share
Tier 2 Subject to plan deductible and then 20% cost share
Tier 3 Subject to plan deductible and then 20% cost share
Tier 4 Subject to plan deductible and then 20% cost share

No coverage is available through mail order if utilizing a non-participating provider.

When submitting your mail order request, simply complete the mail order request form obtained from the Benefits Office or by downloading here.  Mail the completed form, along with your prescription and payment, to:

PrecisionRx
1-800-897-9116
P O Box 961025
Fort Worth, TX  76161
 



The University reserves the right to modify or terminate such plans at any time with or without notice.  Participation in these plans is provided to eligible employees and does not constitute a guarantee of employment.  Participation is subject to the terms and conditions specified in the plan documents


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© Southeast Missouri State University | One University Plaza, Mail Stop 3150 | Cape Girardeau, MO 63701 | Updated 02/08/2008