Prescription Drug

What you need to know

Prescription drug coverage for active members and their covered dependents is provided through Sav-Rx. Coverage includes both a retail pharmacy network and a mail-order option for maintenance medications.

Highlights

Refer to the chart below for a snapshot of what you pay for your coverage. The deductible does not apply to prescription drug costs, and any out-of-pocket costs do not apply toward your annual out-of-pocket maximum.

Plan A

Retail Pharmacy (30-day supply)

Generic drugs
Brand-name drugs
Specialty drugs
In-Network
30% coinsurance
30% coinsurance, plus the difference between brand and generic if considered not medically necessary
30% coinsurance
Out-of-Network
30% coinsurance, plus balance of cost of the fill
30% coinsurance, plus the difference between brand and generic if considered not medically necessary
30% coinsurance, plus balance of cost of the fill

Mail Order (90-day supply)

Generic drugs
Brand-name drugs
Specialty drugs
In-Network
30% coinsurance
30% coinsurance, plus the difference between brand and generic if considered not medically necessary
30% coinsurance
Out-of-Network
Not covered
Not covered
Not covered

Plan B

Retail Pharmacy (30-day supply)

Generic drugs
Brand-name drugs
Specialty drugs
In-Network
30% coinsurance
30% coinsurance, plus the difference between brand and generic if considered not medically necessary
30% coinsurance
Out-of-Network
30% coinsurance, plus balance of cost of the fill
30% coinsurance, plus the difference between brand and generic if considered not medically necessary
30% coinsurance, plus balance of cost of the fill

Mail Order (90-day supply)

Generic drugs
Brand-name drugs
Specialty drugs
In-Network
30% coinsurance
30% coinsurance, plus the difference between brand and generic if considered not medically necessary
30% coinsurance
Out-of-Network
Not covered
Not covered
Not covered
For a full list of covered prescriptions, mail-order prices, pharmacy locator, and more, visit Sav-Rx. Note: You will need your group ID (Rx group), card ID (Rx member ID), drug name, group number, and zip code ready nearby.

Filling a Prescription

When filling a prescription at a participating Sav-Rx pharmacy, including CVS and Walgreens, present your ID card to the pharmacist, and you’ll only pay a percentage of the cost for the prescription. The Plan pays the rest.

If you do not present your ID card to the pharmacist or if you fill your prescription at a non-participating pharmacy, you will be responsible for paying the full, undiscounted cost for your prescription. You may submit a claim form to the Fund Office to be reimbursed a percentage of the undiscounted cost of the prescription.

Mail Order Program

If you take medications for a chronic condition (high blood pressure, arthritis, diabetes, etc.), you may have your prescription delivered to your home through the mail-order program. Receive up to a 90-day supply at a lower cost. Ask your doctor for a prescription up to a 90-day supply (plus refills if necessary) that can be filled through Sav-Rx’s Mail Order Pharmacy Program, then complete a Sav-Rx Mail Order form. For your initial mail order packet, contact Sav-Rx directly at 800-228-3108 or reach out to the Fund Office at 414-258-2336.

Once your form is complete, mail it back to the address listed on the form along with your written prescription and your coinsurance amount. It will take up to 10-14 days to receive your prescription after your order has been received.

New to the Fund?

To gain access to your benefits, you must first enroll in coverage for you and your dependents.

Contacts

Prescription Drug

Sav-Rx

800-228-3108
Website

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