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CVS/Caremark
NETWORK PHARMACIES FOR
ANTHEM BLUE CROSS I, II, AND III PLANS
You
will receive a directory of participating pharmacies in your area.
Over 56,000 pharmacies participate in the CVS/Caremark network. All
eligible members will receive a CVS/Caremark prescription drug program identification
card which needs to be presented to the pharmacist to process your order.
How
the program works:
- You pay the cost of the prescription drug to the CVS/Caremark Network
Pharmacy
- The pharmacist notifies the CVS/Caremark system of your prescription transaction
via computer
- CVS/Caremark transmits the data to Anthem Blue Cross for claims
processing
Anthem
Blue Cross reimburses you for a percentage of the cost
- If you use
a
network
pharmacy
you will receive 80%
of the cost (after your annual deductible is met*)
- If you use
a non-participating
pharmacy
you must submit a claim form directly to CVS/Caremark for reimbursement
and will receive from Anthem Blue Cross 60%
of the reasonable charges (after your annual deductible is met*)
- If you do
not live in the CVS/Caremark service area you must submit a claim form directly
to CVS/Caremark and you will be reimbursed for 80% of the reasonable charges
(after your annual deductible is met*)
*
No
deductible is required for the Anthem Blue Cross III plan.
CVS/Caremark
MAIL-ORDER DRUG PROGRAM
You may order up to a 90-day supply of long-term maintenance prescription drugs by mail or online. You will receive your prescriptions approximately 10 to 14 days after CVS/Caremark receives your order. Along with your prescription you will receive information about your drugs, a receipt, and a new order form. You may order refills simply by calling CVS/Caremark´s toll-free number at 1-800-450-3755. (5-26-06)
Effective July 1, the new 2006-2007 mail order copays are shown below:
Benefit |
Copays |
| Mail Order Prescription Drugs |
- $10 copay for generic
- $30 copay for preferred brand-name
- $50 copay for non-preferred brand name
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| Specialty Prescription Drugs |
- $150 copay mail order only (3-month supply)
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Need
more information? - Call CVS/Caremark at 1-800-450-3755 or log-on to their web site at www.caremark.com using your member ID.
- Call the insurance
carrier
for I.D. cards, plan books, claim forms, eligibility and billing questions.
- Call LACERA for enrollment information and benefit changes.
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