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Retired Members Information: REHP Drug Plan - Medicare Eligible Members
Administered by SilverScript® Insurance Company (effective January 1, 2013)
Summary
- Medicare Part D Prescription Drug Plan
- Three-Tier Copayment Plan - Generic, Preferred Drugs and Non-Preferred Drugs
- Retail Prescriptions (up to 30-day supply) - Generic drug: $12; Preferred brand-name drug: $30, plus the cost difference between the brand and the generic,
if one exists; Non-preferred brand-name drug: $60, plus the cost difference between the brand and the generic,
if one exists
- Retail Maintainence at CVS Pharmacy and Mail Order - Generic drug: $18; Preferred brand-name drug: $45, plus the cost difference between the brand and the generic,
if one exists; Non-preferred brand-name drug: $90, plus the cost difference between the brand and the generic,
if one exists
- Non-Preferred Retail Network (up to a 90-day supply) - Generic drug: $24; Preferred brand-name drug: $60, plus the cost difference between the brand and the generic,
if one exists; Non-preferred brand-name drug: $120, plus the cost difference between the brand and the generic,
if one exists
If you use a pharmacy that does not participate in the SilverScript network, you pay the full cost of your prescription. You must then file a claim with
SilverScript in order to receive reimbursement.
To find out if your pharmacy participates with SilverScript, call your pharmacy
or contact SilverScript at 1-866-329-2088 (24 hours a day, 7 days a week). TTY:
711.
For Copayment Information, log on to the SilverScript Web Site:
rehp.silverscript.com. More information on the Prescription Drug Plan for
Medicare Members appears under the Publications/Forms section of this Web Site.
To review the Prescription Drug Formulary and other prescription drug related forms and publications, click here.
SilverScript: rehp.silverscript.com
For more information, refer to your REHP Benefits Handbook or contact PEBTF.
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