Prescription

Based on your feedback and After an exhaustive audit process and multiple site visits, Benecard has determined Caremark Mail Service to be the best available mail order service pharmacy for its clients. This change (from Walgreens Healthcare Plus) will occur as of March 1st, 2007 and involves only mail order pharmacy service.

Caremark Mail Service pharmacy offers the following advantages:

• Faster delivery with reduced mail times (the new facility is in eastern Pennsylvania whereas the old facility was in Arizona)

• High quality service with prompt speed of answer

• Commitment to innovation and investment in technology to offer more responsive, efficient and interactive mail service

You can find a list of Frequently Asked Questions here. Forms will be available on our website as of March 1st on our forms page.

The Prescription Drug Carrier is Benecard Services which uses the nationwide network of pharmacies administered by Argus Health Systems.

Covered Medications:

1.  Federal Legend Drugs

Any FDA approved medicinal substance which bears the legend “Caution: Federal Law prohibits dispensing without a prescription.”

 

2.  State Restricted Drugs

Any medicinal substance which may be dispense by prescription only, according to State Law.

New Jersey State Law requires available generic drugs to be dispensed by the pharmacist unless a prescribing physician specifically indicates that only a brand name be dispensed or a patient insists on a brand name.  Consequently, unless a brand name prescription drug is stipulated as medically necessary by the prescribing physician, participating providers may require cardholders under this contract who decline a generic alternative to pay any drug costs in excess of the reimbursable generic price. The dispensing pharmacist will be reimbursed based upon the appropriate generic price. 

3.  Compounded Medications
A compounded medical prescription is an extemporaneously prepared dosage form.  The compound must contain at least one federal legend drug in a therapeutic amount; or a combination of ingredients which require a prescription by law when compounded into a specific dosage form for an individual patient at the direction of a prescriber, and which is also in a therapeutic amount.

4. Diabetic Supplies
Insulin; disposable insulin needles/syringes; disposable blood/urine glucose/acetone testing agents (e.g. Clinitest tables, Chemstrips. Diastix Strips and test-tape); blood glucose monitors; and lancets.

5. Contraceptive Devices
Any drug or device used for contraception by a female which is approved by the FDA for that purpose.

Exclusions, Limitations & Disclaimer

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Notice of Creditable Coverage

For Medicare-eligible members, please click here for a printable copy of the Notice of Creditable Coverage for your prescription plan, or to visit the Medicare website, click this link: www.medicare.gov .

 

 

 

For general information about Benecard Services Inc:   www.benecard.com

Important Note: Your insurance benefits are limited to the terms, conditions, exclusions and limitations of the insurance carrier's policy.  Nothing contained on this website shall be deemed to have altered, waived, or extended the coverage provided by the policy.  This overview contains a general description of your benefits program for your use as a convenient reference. Complete details of your program appear in the policy, which govern the benefits and operation of your program. The policy supersedes if there should be any inconsistency or difference between its provisions and the information in this overview.