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ACTIVE FUND
Prescription Drug Plan
The Health and Welfare Fund of the Patrolmen's Benevolent Association
provides a mandatory generic benefit for prescription drugs
for all active members and their eligible dependents through the
use of the PBA/CAREMARK Prescription Drug Program. The PBA
Prescription Drug Program utilizes a formulary tier system and contains
a mail order provision.
The following co-payments apply to your Prescription Drug Benefit:
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$5.00 co-payment for Generic Drugs
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$5.00 co-payment for Formulary
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$8.00 co-payment for Non-Formulary
The following maximums apply to your Prescription Drug Benefit:
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Annual : $10,000
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Lifetime : $120,000
The program covers most medications which require a prescription
by either state or federal law, have been approved by the Food and
Drug Administration (FDA), for use in connection with the treatment
of the diagnosis for which the drug is being dispensed, are prescribed
by a licensed practitioner and dispensed by a licensed pharmacist.
When using a participating pharmacy, no claim forms are necessary.
Present the PBA/CAREMARK plastic identification card and the prescription
to your pharmacist. The pharmacist will dispense the prescription
and CAREMARK will reimburse the pharmacy directly. The member will
pay only the applicable co-payment. If in doubt as to whether or
not the pharmacy is participating in our program, the member may
obtain the name and location of participating pharmacies by contacting
CAREMARK at 1 (877) 722-7911.
Arrangements For Continued
Use Of A Particular Medication
A number of medications are considered to be maintenance drugs
and are prescribed for such conditions as hypertension, heart disease,
diabetes, etc. When prescribed by a physician, it is usually for
a prolonged period of time. To eliminate the need to repeatedly
visit a pharmacy each month, CAREMARK has a Mail Service Program.
The Mail Service Program will provide the member with a three (3)
month supply of a prescribed medication, and the prescription will
be mailed directly to the member's home. To use this program, the
member should refer to their CAREMARK Prescription Drug Benefit
Program Booklet or call CAREMARK at 1 (877) 722-7911 or at www.caremark.com.
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