The
Columbia Public School District has contracted with MedTrak
Services to manage the pharmacy portion of the medical
plan. Members enrolled in the District's medical
plan can utilize the pharmacy program with the
medical plan insurance I.D. card.
This
program covers prescriptions filled at participating retail
pharmacies. A list of participating retail pharmacies is
available through the link below. The pharmacy program also
covers prescriptions filled at the Mail Order Pharmacy. Effective
January 1, 2003, the new mail order pharmacy is Walgreens
Healthcare Plus located in Phoenix, Arizona.
MEDTRAK
SERVICES
6310 Lamar Ave., Suite 230
Overland Park, KS 66202
Telephone Numbers:
Member Services: (800) 771-4648
(For questions on co-pays & prescription
coverage)
Mail Order Customer Service: (800) 345-1985
Mail Order Refills: (800) RX-REFILL or
(800) 797-3345
Drugs
that are covered under the prescription benefit program
are listed on a "Formulary" and fall under three
classifications: (see
the Summary Plan Description for full description of the
prescription drug benefit.)
Local
Pharmacy - Employees can have prescriptions filled
at local participating pharmacies as follows.
Tier 1 - Generic
Drugs - $15 co-pay for a 30-day supply. Drugs that are
chemically
and therapeutically equivalent to brand name drugs, but
are not protected by a patent.
Tier 2 - Preferred
Drugs - $30 co-pay for a 30-day supply. Drugs designated
by the
Plan as superior or equal to other brand name drugs, but
are more cost-effective.
Tier 3 - Non-Preferred
Drugs - $45 co-pay for a 30-day supply. Drugs that the
Plan has determined are not usually clinically necessary
and that have more cost-effective therapeutic alternatives.
Plus Plan:
Under the Plus Plan, your prescription costs
apply to the deductible. You pay 100% of prescription
costs until your deductible is met. Once the deductible
has been met, covered prescriptions, like other qualified
medical expenses are reimbursed at 100% (subject to applicable
plan limitations). There are no prescription copays under
the Plus Plan.
When you use your medical ID card and get
your prescription filled, the cost information is submitted to
the medical plan, and the amounts are applied to your
deductible.
MAIL ORDER
- For maintenance drugs, an employee can save money by ordering a
90-day supply via mail order to MedTrak Services. For maintenance
type prescriptions, we suggest employees use the mail order option.
Not only does the employee save money, but mail order use offers
larger discounts to the District, enabling the District to maintain
current benefits and rates.
Basic Plan:
Tier 1 - Generic Drug:
$25 co-pay for a 90-day supply
Tier 2 -
Preferred Drug:
$55 co-pay for
a 90-day supply
Tier 3 - Non-Preferred Drug:
$90 co-pay for
a 90-day supply
For
mail order forms, contact your building's main office or the
Employee Benefit's Office.
*
Keep Copays Low - Use Mail Order! *
Mail order is easy to use:
Ask your doctor
to write your prescription for a 90-day supply, plus refills
for up to one year, if appropriate.
Then mail your
prescription with your copayment in the preaddressed mail
order envelope.
Your
prescription will be shipped to you at your home or office
within two weeks.
To reorder,
simply call the toll-free refill number.
Plus Plan:
You can use the mail order
option to purchase three months of prescriptions, but you will be
charged for the three month cost of the prescriptions. Mail
order does provide additional discounts on prescription drugs you
purchase.
Additional Mail Order
Tips:
Many employees use the mail order option to
receive the discounted cost of the prescription drugs, and to
avoid the time spent picking up prescriptions at local
pharmacies.
Generally speaking, generic prescription drugs
are cheaper at the local pharmacies, and brand name drugs are
less costly through mail order. Prescription costs can
vary at the various retail pharmacies.
For prescription drug information, go to
www.medtrakservices.com
and click on the members tab at the top, then click on "Need to
Register". For the cardholder ID entry, enter the number
from the front of your medical ID card. Next, long in by
creating a user ID and password. You will have access to a
history of your prescription drug purchases, your costs and
total cost of your prescriptions. The MedTrak information
will help you compare prescription costs of your drugs.
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