Rx

Local 153
Prescription Drug Benefit

	Brand Name	Generic

Mail Order (90 Day Supply)	$46.00	$34.00
Retail (34 Day Supply)	$23.00	$17.00

medco cares for millions of Americans
Their industry-leading mail-order pharmacy service is one of the largest in the United States. By filling your long-term edications through Medco By Mail, you not only receive personalized condition-specific care from specialist pharmacists, you can also receive up to a 90-day supply of your medication—often at a lower cost than at a retail pharmacy. Plus you save on gas money with convenient delivery right to you (and free standard shipping). Learn more about mail order.

And, because their specialist pharmacists are experts on the latest medications for your condition, they may be able to suggest more affordable yet equally effective alternatives. For short-term medications, use one of the nearly 60,000 retail pharmacies we partner with for added convenience.

Finally, someone who specializes in your specific condition
Just as there are specialist doctors who treat specific medical conditions, now there are specialist pharmacists with extensive training in the medications used to treat your specific condition. Medco specialist pharmacists are experts in treating people with chronic conditions such as:

Diabetes
High cholesterol
Cancer
Asthma
Heart conditions
High blood pressure
Gastrointestinal conditions
Neurological conditions

Specialist pharmacists keep you safe and help you save
Specialist pharmacists partner with you and your doctor. With access to medical and prescription records on file, they can:

Help you avoid drug interactions that may be unsafe
Suggest ways that could save you money
Offer important insights into how others have reacted to certain treatments

World-class service
Medco's "first-call resolution" customer service policy, award-winning member website, interactive voice response system, and our around-the-clock pharmacist availability all help you get the service you deserve. Medco has been consistently recognized by independent research organizations for delivering the highest member satisfaction of any prescription benefit manager.

A pharmacy that works for you
Physicians Employee Organization choose Medco for prescription benefit coverage so that you can be confident you're receiving the best care and service available. Meco doesn't just safeguard the quality of your prescriptions. They work hard to provide you with information to help make informed decisions about the cost of your medications and available alternatives for you and your healthcare provider to consider. This includes information about savings that may be offered through their mail-order service or about the use of clinically-appropriate generic drugs.

A website designed just for you
Medco members have access to the largest and most experienced online pharmacy in the industry. Millions of Medco members use the medco.com® website to save time, order and manage their prescriptions, research health information, and identify savings opportunities. It's easy to get started and completely secure.

Local 153 RETAIL Benefit Highlights

When to Use

The most efficient way to use your retail pharmacy benefit is to present your member I.D. card at a participating retail pharmacy. Your retail plan should be used for medications required on a short-term basis. When you have a prescription filled at a participating pharmacy, present your member I.D. card to the pharmacist, who will use an automated system to verify your coverage and prescription cost.

Days Supply

At retail pharmacies, you may purchase up to a 34-day supply of most prescription medications. There may be limitations on some prescriptions, such as controlled medications, subject to state and federal dispensing limitations.

Co-payment

For brand-name medications:

Your co-payment is $23.00.

For generic medications:

Your co-payment is $17.00.

For brand-name medications when a generic is available:

Your co-payment is $23.00.

Local 153 Mail Order Benefit Highlights

When to Use

The most efficient way to fill prescriptions that you take for long-term or chronic conditions is through the Mail Order Service. To learn more about getting started with Medco By Mail, click here.

Days Supply

Through the Mail Order Service, you can purchase up to a 90-day supply of most prescription medications. There may be limitations on some prescriptions, such as controlled medications, subject to state and federal dispensing limitations.

Co-payment

For brand-name medications:

Your co-payment is $46.00.

For generic medications:

Your co-payment is $34.00.

For brand-name medications when a generic is available:

Your co-payment is $46.00.

Coordination of Benefits

Coordination of Benefits is the process in which two or more health insurers cover the same person(s) but limit the total benefit payable for a claim to an amount not exceeding the total cost of the claim. If Medco is your secondary benefit, primary claims submitted by the retail pharmacy or primary paper claims submitted by you will not be covered. If you have sent the prescriptions through mail order and Medco is your secondary benefit, you will be contacted to verify your coverage.
You may submit a paper claim to be considered for reimbursement under your secondary coverage. The Coordination of Benefit applies to:

Your mail-order claims.
Your member-submitted paper claims.
Your retail pharmacy claims.

For further information on Coordination of Benefits or for an explanation on the reimbursement of a claim, please call the Member Service phone number on the back of your card.

This information is intended to serve as a general overview the terms of your prescription benefit are subject to change.

Order prescription refills online
Request a prescription renewal
Save money with My Rx Choices®
Transfer prescriptions from retail to mail
Locate a pharmacy
Review prescription history
View and print your prescription expenses