| Pharmacy Network |
| Your prescription card is accepted at over 50,000 participating pharmacies throughout the United States. The network includes pharmacy chains, such as CVS, Rite Aid, Medicine Shoppe, Walgreens, Wal-Mart, and more, as well as thousands of independent pharmacies throughout the country. |
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| ALBERTSONS |
A AND P PHARMACY |
ARBOR DRUGS |
ARROW CENTER |
| AURORA PHARMACY |
BARTELL DRUGS |
BIG BEAR PHARMACY |
BI-LO PHARMACY |
| BI-MART PHARMACY |
BROOKS PHARMACY |
BROOKSHIRE BROS |
BROOKSHIRE PHARMACY |
| BRUNO'S PHARMACY |
CASHWISE |
COSTCO |
CUB PHARMACY |
| CVS PHARMACY |
DILLON PHARMACY |
DISCOUNT DRUG MART |
DOMINICK'S PHARMACY |
| DRUG EMPORIUM |
D & W FOOD CENTERS |
EAGLE PHARMACY |
ECONOFOODS |
| ECKERD DRUG |
EDWARDS PHARMACY |
EPIC |
FAGEN PHARMACY |
| FAIRVIEW PHARMACY |
FARMCO DRUG CENTER |
FARMER JACK |
FOOD TOWN PHARMACY |
| FRED MEYER PHARMACY |
FRED'S PHARMACY |
FRUTH PHARMACY |
FRY'S FOOD & DRUG |
| FURR'S PHARMACY |
GENOVESE DRUG STORE |
GIANT EAGLE |
GRAND UNION |
| HARRIS TEETER |
HOMELAND PHARMACY |
HORIZON PHARMACY |
HY-VEE PHARMACY |
| KERR DRUG |
K MART PHARMACY |
KASH N' KARRY |
KING SOOPERS |
| KINNEY DRUGS, INC. |
KNIGHT DRUGS |
KROGER PHARMACY |
LEGEND |
| LEWIS FAMILY DRUG |
LONG'S |
MARC'S |
MED-X DRUG |
| MEDIC DISCOUNT DRUG |
MEDIC DRUG |
MEDICAP PHARMACY |
MEDICINE SHOPPE, THE |
| MEIJER PHARMACY |
METRO PHARMACY |
MORE 4 FAMILY |
NCS HEALTHCARE |
| OSCO DRUG |
OSCO DRUG |
PAMIDA PHARMACY |
PATHMARK PHARMACY |
| PHAR-MOR |
PRICE CHOPPER |
PUBLIX PHARMACY |
RAINBOW PHARMACY |
| RITE AID PHARMACY |
SAFEWAY PHARMACY |
SAVE-ON |
SAVE MART PHARMACY |
| SCHNUCKS PHARMACY |
SEELY SNYDER DRUG |
SENTRY DRUGS INC |
SHOP'N SAVE |
| SHOPKO PHARMACY |
SHOPRITE PHARMACY |
STAR PHARMACY |
STOP & SHOP |
| TARGET PHARMACY |
TIMES PHARMACY |
TOPS PHARMACY |
UKROPS PHARMACY |
| UNITED PHARMACY |
VON'S PHARMACY |
WAL-MART PHARMACY |
WALDBAUM'S PHARMACY |
| WALGREENS |
WEGMAN PHARMACY |
WEIS PHARMACY |
WHITE DRUG |
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| PREFERRED DRUG LIST UPDATES |
| For the most up-to-date information about the Preferred Drug List, please see the information on our website. This Preferred Drug List includes most, but not all, therapeutic classes of prescription drugs and is subject to change at any time upon review. Our Preferred Drug List is reviewed each month. Physicians and Pharmacist are encouraged to review the Preferred Drug List and utilize it when prescribing for our members. This is extremely important since a member’s prescription benefit is based on medication being prescribed for the Preferred Drug List. The Preferred Drug List is not intended to interfere with independent medical judgement that is based upon the patient-physician relationship. The final choice of specific drug selection for an individual patient rests solely with the prescriber. |
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| DEVELOPMENT OF THE PREFERRED DRUG LIST |
| The multitude of drugs available in the consumer market makes it mandatory that plans introduce a sound program of drug usage. This tool is developed to ensure members receive the best care and protection possible in a cost-effective manner. Such a program should involve the thorough evaluation, selection, and use of medicinal agents. |
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| THERAPEUTIC INTERCHANGE (TI) POLICY |
| The use of therapeutic interchange programs as part of a comprehensive approach to quality, cost-effective patient care is recommended. Therapeutic interchange is the practice of replacing, with the prescribing physician’s approval, a prescription drug originally prescribed for a patient with a prescription drug that is its therapeutic equivalent. Two or more drugs are considered therapeutically equivalent if they can be expected to produce identical levels of clinical effectiveness and sound medical outcomes in patients. Therapeutic interchange involves the collaboration of pharmacist and prescribers in reviewing available drug products with equivalent therapeutic effects in order to provide patients with the safest, most rational, and most cost-effective drug therapy. |
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| GENERIC DRUG POLICY |
It is our policy to utilize high quality generic medications when available. A generic drug is identical or bioequivalent, to a brand name drug in dosage form, safety, strength, route of administration, quality, performance characteristics, and intended use. Although generic drugs are chemically identical to their branded counterparts, they are typically sold at substantial discounts for the brand name price. It is our policy to encourage pharmacies to utilize the same generic product that was distributed by the same company that was dispensed on the original prescription on all subsequent refills for the drug product selection. We do not recommend that generic substituting be exercised with multisource products that cannot be considered therapeutically equivalent to others in the same category It is also recommended that generic substitution not be undertaken for any unrated products that might be considered narrow therapeutic index (NTI) drugs or which are known not to be bioequivalent. Finally, it is important to note that state laws and regulations govern the practice of generic substituting for certain drug products. Requests for exception to the generic policy must clearly document specific reasons for medical necessity and appropriateness.
Medications that have generic equivalents available are covered at a generic reimbursement level and should be prescribed and dispensed in generic form. Maximum Allowable Cost (MAC) limits have been established for specific dosage forms of these drugs. The MAC list sets a ceiling price for the reimbursement of certain multisource prescription drugs. This price will typically cover the acquisition of most generic but not branded versions of the same drug. The products selected for inclusion on the MAC list are commonly prescribed and dispensed and have gone through FDA’s review and approval process. |
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| EXCLUSIONS & LIMITATIONS |
| Any medication or drug that has not been approved by the FDA to be both effective for use in the United States will not be covered. This includes both FDA approved and non-approved medications that are in experimental or investigational trials to determine new indications, new routes or administration, or new dosage forms. This Prescription Drug Card Is Not Insurance. Formulary is subject to change without notice. |
Plan available in all states
