Carpenters Health and Security Plan
Prescription Drug Benefits
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Summary of Benefits
Prescription drugs are available through two prescription drug programs.
- Retail Program: Allows you to purchase prescription drugs from a large, nationwide network of retail pharmacies. This program is for patients needing a medication for 30 days or less.
- Mail Program: Allows you to purchase prescription drugs through the mail. This program is for patients needing medication on a long-term basis (up to a 90-day supply).
This summary shows how the cost for covered medications is shared between you and the Plan. Read the Summary Plan Description for a full explanation of your benefits.
If you are diabetic, please see Diabetic Care for information on how to purchase diabetic supplies
The pharmacy program covers a limited number of over-the-counter (OTC) and preventive medications with a $0 copayment, when prescribed by your physician.
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Express Scripts
The Plan's prescription drug benefits are administered by Express Scripts.
Website: After you gain eligibility, it's recommended that you visit the Express Scripts website (www.express-scripts.com) and complete the free registration.
- Locate a participating pharmacy
- Research medication choices
- Explore lower-cost options
- Order prescriptions by mail
- Track deliveries
- Look up pharmacy claims
Mobile: The Express Scripts mobile app puts useful features right on your mobile device. Register or sign in to the Express Scripts website to download the free app.
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Providers
Participating Pharmacy: If you need a prescription for 30 days or less, Express Scripts works with a nationwide network of retail pharmacy chains. Register and sign in to the Express Scripts website to locate a participating pharmacy.
Non-Participating Pharmacy: You're allowed to purchase from a non-participating pharmacy. You'll have to pay the full retail price, however. To get reimbursed, you'll need to send the receipt to Express Scripts along with a completed form. If covered, reimbursement will be limited to 100% of the "average wholesale price."
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Claims
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Customer Service
Retail Program Mail Program Carpenters Trusts
(206) 441-6514 Seattle Area
(800) 552-0635 NationwideExpress Scripts
(800) 251-7706 Nationwide -
Forms