
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
Contact
Us
| (573) 651-2206 | Fax: (573) 651-2108 | disclaimer
© Southeast Missouri State University
| One University Plaza, Mail Stop 3150 | Cape Girardeau, MO 63701 |
Updated 02/08/2008