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Brand Name
Generic Name
Important — Please Note
The Blue Cross mail service prescription drug benefit does not cover drugs that do not require a prescription, for example, aspirin, laxatives, vitamins, drugs used for cosmetic purposes (such as Propecia and Renova) and non-FDA pharmaceutical guidelines and manufacturers packaging, there are dispensing limitations on some medications. In addition, some medications may require prior authorization before they may be dispensed. For the most current and complete list Glucophage metformin Glucotrol glipizide regarding quantity limitations and medications requiring prior authorization please visit our Web Medications such as amoxicillin or other antibiotics prescribed by your doctor for short-term illnesses are best obtained through your local pharmacy.
Prescriptions for Class II narcotics such as Ritalin and other controlled substances are subject to stricter regulations than other medications and should not be obtained through mail service. This brochure only highlights your mail service prescription drug program. Refer to your Certificate or benefit booklet for benefit information. In case of any discrepancy between this brochure and the legal documents describing the plan, the legal documents If You Have Questions
Trental pentoxifylline If you have questions on cost or benefit coverage,Tylenol with codeine call the Blue Cross Prescription Drug Inquiry Unit at (800) 423-1973. Customer service representatives are available 7:00 a.m. to 11:00 p.m. Monday through Friday, 7:30 a.m. to 8:00 p.m., Saturday and Sunday, Central Time. Have your Blue Cross ID card handy when you call. To determine whether a drug is on the formulary, visit our Web site at As always, you should discuss with your physicianquestions or concerns about any drugs you are taking.
A Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association Your doctor can determine whether a generic drug isappropriate for you.
Bringing Maintenance
When Ordering Medications
Save When You Use Generic Drugs
Medications To Your Door
for the First Time
Many people rely on prescription medications to stay healthy • Ask your doctor for a new written prescription for each Talk to Your Doctor and Pharmacist
and productive. But frequent trips to the pharmacy can be medication you want to order to be delivered to your home.
Your doctor uses clinical knowledge and judgment to costly and inconvenient. Fortunately, as a member of Blue If you are starting a new medication, ask your doctor for two prescribe drugs that meet your needs. The next time your Cross and Blue Shield of Illinois you have a mail service doctor writes you a prescription, ask if a generic is prescription drug benefit if you or a dependent are on a available. Generic drugs are widely recognized as • one for a starter supply for up to 34 days that you can fill effective medications. You can expect the same clinical results as brand name drugs. When you are purchasing a This benefit saves you time and money. You can: • the second for up to a 90-day supply of the medication to prescription, indicate that you would like a generic drug.
• take advantage of our discount arrangement with be mailed to your home. To take full advantage of the program, your 90-day prescription should be written Frequently Asked Questions
• purchase maintenance medication every 90 days Are generic drugs safe?
• We recommend that you take the medication for two weeks Yes. The U.S. Food and Drug Administration (FDA) • enjoy the convenience of mail service.
before sending the prescription for the larger supply to must review and approve generic drugs before they are For Prescription Drug Card Program members:
the mail service pharmacy. Your physician may want to made available to the public. Plus, generic drugs must monitor your initial reaction and response to the medication.
As determined by your specific health care benefits plan, you have the same active ingredients as their comparable • Ask your doctor whether you can use a generic medication brand name drugs, which have years of testing and if you are not currently doing so. The generic name of a drug • a fixed dollar copayment depending on whether is its chemical name. Generic drugs meet the same strict your medication is generic, formulary brand or requirements of the U.S. Food and Drug Administration Why do generic drugs cost less?
(FDA) as brand drugs, but are considerably less expensive. Generic drugs tend to cost less than the equivalent brand • a coinsurance amount that is lowest for generic name drug because the companies that make them do • Complete the registration and prescription order form not have to recover the costs of research and enclosed in the packet with this brochure. Include information for all your eligible dependents, even if they arenot currently taking medications. (Please note you need to do Is there a generic drug available for my condition?
• a combination of fixed dollar amounts and coinsurance.
this one time only and not with each refill order.) Remember Most likely. Almost 50 percent of all prescriptions are to enclose all required information, including your member For BlueSCRIPT members: The Blue Cross home
ID number, PCN number (lower right face of ID card) and delivery prescription drug benefit offers you even more your group number as they appear on your ID card.
A Good Choice
convenience with medications delivered to your door. Your doctor will determine the appropriate medication The electronic claims processing service automatically • Determine your total copayment/coinsurance cost and for you. You should always ask if a generic version is calculates the discounted price available to you as a enclose it. You can pay by credit card, debit card, check or available for your prescription. Remember, you get a Blue Cross member. You are responsible for the appropriate money order. Do not mail cash. If you have questions about
drug with the same active ingredients as the brand name amount based on your prescription drug benefit.
your share of the cost, refer to your health care benefits plan or call the Blue Cross Prescription Drug Inquiry Unit at(800) 423-1973.
On the next page are just a few of the most commonlyprescribed brand name drugs and their generic • Mail the prescription(s) with your completed order form, equivalents. Ask your physician to approve the generic including payment information, in the enclosed equivalent whenever possible by writing the generic pre-addressed envelope. Remember to include postage.

Source: http://hr.depaul.edu/ContributionFolder/Documents/Benefits/CDHP%20Rx%20Mail%20Order%20Brochure.pdf