Carpenters Health and Security Plan

Retail Refill Allowance Program 

Previous Policy

To maintain the quality of your benefits while keeping your prescription costs as low as possible, you will pay more for your long-term drugs (such as those used to treat high blood pressure or high cholesterol) if you continue to purchase them at a participating retail pharmacy or at a nonparticipating retail pharmacy. Beginning with the third time you purchase each long-term drug at a participating retail pharmacy, you will pay 50 percent of the cost of the long-term drug. But if you use the Express Scripts By Mail Program, you will pay the mail-order copay ($14 generic, $30 brand-name listed on the drug program formulary, $60 brand-name not listed on the drug program formulary) for up to a 90-day supply. You will be notified by Express Scripts if you fill a long-term drug at a participating retail pharmacy that is subject to this program.

To maintain the quality of your benefits while keeping your prescription costs as low as possible, you will pay more for your long-term drugs (such as those used to treat high blood pressure or high cholesterol) if you continue to purchase them at a participating retail pharmacy or at a nonparticipating retail pharmacy. Beginning with the third time you purchase each long-term drug at a participating retail pharmacy, you will pay 50 percent of the cost of the long-term drug. But if you use Express Scripts By Mail or Exclusive Smart90® Walgreens, you will pay a copay for up to a 90-day supply:

  • $14 copayment for each generic prescription.
  • $30 copayment for each brand-name prescription listed on the drug program formulary.
  • $60 copayment for each brand-name prescription not listed on the drug program formulary.

You will be notified by Express Scripts if you fill a long-term drug at a participating retail pharmacy that is subject to this program.

Last Updated: 06/13/2019