Prescription Plan

• The plan includes a Pharmacy Card with a co-pay of $10.00 for generic prescriptions, $30.00 for preferred brand names, and $50.00 for non-preferred brand names.
• If a generic is available it will automatically be selected unless the employee elects to pay the difference between the cost of the brand name and the generic, plus the co-pay.
• Mail order is available.
• Three Tier Formulary Prescription List

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Mail & Internet Pharmacy - Caremark.com

Members can order by phone, internet or mail. The prescription is then delivered to the member(s) home.

In order to use this option, the prescription must have been previously refilled. The member receives a 3-month supply for the cost of 2.

CONTACT INFORMATION:
PO Box 961066
Fort Worth, TX 761761-0066
Phone: 1-888-293-3748
Web site

When enrolling in Caremark, enter your health insurance ID number WITHOUT the XCF in the Participant/Cardholder ID field. Enter 3952 in the Group Code field. Even though this field is marked optional, it is required.