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Summary of Prescription Benefits

The Plan contracts with a Pharmacy Benefit Manager, Catamaran to provide prescriptions at a discounted rate through Participating Retail Pharmacies. The Mail Order Pharmacy option is provided by Catamaran Home Delivery.


Participating Pharmacy


Generic Co-Pay


Brand Co-Pay

Up to a 30-day supply or 100 unit dose

$5

$15 plus 15% of the balance

Non-Participating Pharmacy

Up to a 30 day supply or 100 unit dose. You MUST pay for the prescription and submit a claim to Catamaran for reimbursement.

$15 plus 50% of the balance

$15 plus 50% of the balance

Mail Order Pharmacy Option

For Maintenance prescriptions up to 100 day supply or 300 unit dose

No Co-Pay

$15 plus 15% of the balance


Retail Pharmacy Benefit Option – Catamaran

Once you become eligible for benefits, you can locate retail pharmacies in the Catamaran network by visiting their website at mycatamaranrx.com  or call Catamaran customer service at 888-354-0090.


Non-Participating Retail Pharmacy Benefit

Covered prescription drugs purchased at Non-Participating Pharmacies will be reimbursed at 50% of covered charges following a $15 co-pay. You must pay for the prescription at the pharmacy and submit a claim for with your prescription receipt to Catamaran for reimbursement. Claim forms can be obtained by calling Catamaran customer service at 888-354-0090.


Mail Order Pharmacy Benefit Option – Catamaran Home Delivery

This option is available through Catamaran Home Delivery for maintenance medications (those that are taken for long periods of time, such as drugs sometimes prescribed for heart disease, high blood pressure, asthma, etc.). Prescriptions are filled by mailing or faxing your doctor’s prescription form to Catamaran Home Delivery. For questions regarding the Mail Order option, contact Catamaran Home Delivery at 888-354-0090.


Over-the-Counter Pharmaceuticals and Smoking Cessation Products

The Trust will pay 100% of the cost of a limited number o over-the-counter pharmaceuticals and smoking cessation products approved by the FDA. Limitations may apply.

  • Asprin: when prescribed by a physician for the prevention of cardiovascular disease for men and women ages 55-79.

  • Folic Acid: when prescribed by a physician for women up to age of 50.

  • Smoking Cessation: products approved by the FDA for smoking cessation and prescribed by a physician, including oral medications, inhalers, nicotine patches or nicotine gum.

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