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The prescription drug program provides two convenient ways to get your covered prescriptions filled, either through a retail pharmacy or by mail order. The chart below provides highlights of the prescription drug coverage for the Trooper Chapter, Airport Police and Fire Officers Chapter, Fairbanks Police Department, Fairbanks Fire Department and Juneau Police Department members, as of July 1, 2009. Refer to your Benefit Booklet for details, limitations and exclusions.
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Retail Pharmacy Benefits |
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Supply |
Up to a 30-day supply per prescription or refill |
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Coverage |
100%, after your copayment |
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Participating pharmacy |
Show your coverage identification card and pay the required copayment |
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Nonparticipating pharmacy |
You pay the full cost for prescriptions or refills. You will be reimbursed for the cost of the prescription that a participating pharmacy would have charged, less your copayment |
| Specialty Pharmacy |
Benefits for specialty drugs are only available when purchased through one of Premera's Specialty Pharmacies. "Specialty drugs" are drugs used to treat complex or rare conditions that require special handling, storage, administration or patient monitoring. They are high cost, often self-administered injectable drugs for the treatment of conditions such as rheumatoid arthritis, hepatitis or multiple sclerosis. Premera has contracted with specific Specialty Pharmacies that specialize in the delivery and clinical management of specialty drugs. These pharmacies will work with you and your health care provider to arrange ordering and delivery of these drugs. Contact Premera Customer Service at 1-800-508-4722 for details on which drugs are included in the Specialty Pharmacy Program and how to locate a Specialty Pharmacy, or visit Premera's web site at www.premera.com. Benefits for specialty drugs dispensed through the Specialty Pharmacy program are limited to a 30-day supply. |
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Submitting a claim |
If you show your coverage identification card, you will not have to submit a claim, the pharmacy will bill to the plan directly. If you don’t show your card, you will have to submit a claim. Contact Premera Blue Cross Blue Shield to get a prescription drug claim form and send your claim and receipt to the address shown on the form. |
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Contact information |
Pharmacy Benefit Customer Service: 1-800-626-6080
www.medco.com |
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Mail Order Benefits |
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Supply |
Up to a 90-day supply per prescription or refill; use mail order service for prescription drugs you take on a regular basis |
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Coverage |
100%, after your copayment |
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Contact information |
Pharmacy Benefit Customer Service: 1-800-626-6080
www.medco.com |
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Your Copayment |
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Prescription Type |
Retail Pharmacy copayment
(Up to a 30-day supply) |
Mail Order copayment
(Up to a 90-day supply) |
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Generic
A drug manufactured by a company that is not the original patent holder. Generic drugs are chemically equivalent to their brand name counterpart and are approved by the FDA. Generic drugs are usually much less expensive than their brand name counterpart. When filling a prescription, you should always ask your doctor or pharmacist if a generic equivalent is available. |
$10 |
$25 |
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Brand name*
Drugs that are covered by a patent and manufactured and sold by one company. After the patent expires, the brand name remains with the original manufacturer's product |
$30 |
$75 |
* If you or your prescribing physician request a brand name drug when a generic equivalent is available you will be required to pay the difference in cost between the brand name drug and the generic equivalent in addition to the brand name copayment.
Contact Information
Premera Blue Cross Blue Shield of Alaska
P.O. Box 91059
Seattle, WA 98111-9159
Local and toll free: 1-800-508-4722
Hearing-impaired TTY:1-800-842-5357
Premera Blue Cross Blue Shield of Alaska: https://www.premera.com
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