Prescription Drug Benefits
- Where do I go for questions about medications or prescriptions?
- Why has the State hired a Pharmacy Benefit Manager?
- What is a preferred drug list and who decides which drugs are on this list?
- How can I obtain a copy of the preferred drug list?
- What is Medicare Part D and how what do I need to do if I am eligible?
Where do I go for questions about medications or prescriptions?
For any medication related questions, please contact the State Health Plan’s prescription drug benefits contractor:
Medco
100
Phone: 800-336-5933
Why has the State hired a Pharmacy Benefit Manager?
The Pharmacy Benefit Manager was hired in an effort to reduce drug costs to the Plan. The Pharmacy Benefit Manager, currently Medco, can, through rebates from drug manufacturers, network negotiation, preferred drug lists, and other means, reduce the price per drug to the Plan.
What is a preferred drug list and who decides which drugs are on this list?
Members of the Plan's Pharmacy and Therapeutics Committee, a group of
All generic drugs are preferred and have a copayment of $10. A preferred brand drug with no generic is $30 and a preferred brand with a generic equivalent is $40. All drugs that are not on the preferred drug list have a copayment of $50.
How can I obtain a copy of the preferred drug list?
The preferred drug list is available on our Web site. You can download the preferred drug list now. You also may obtain information about your particular prescription by calling Medco toll free at 800-336-5933.
Note: The information contained in these Frequently Asked Questions does not include all the benefits or everything you need to know about the State Health Plan. Please check your Benefit Booklet for further details. For more information click on the appropriate Benefits Book for your health plan: PPO Basic , PPO Standard , PPO Plus . We encourage you to call if you have questions about any of your health plan benefits. For the contact information, consult our Contact Us page.
