Medication Adherence Pilot Program (MAPP) For Retirees taking Diabetes and Cardiovascular Medications

To make it easier for members to stay healthy and take their medications as directed by their provider, the State Health Plan is providing a special benefit to retired members taking medications for cholesterol, blood pressure and blood sugar. Retired members can order a 90-day supply of their diabetes and heart medications from one of the pharmacies listed below for 2½ times the copay.

If you choose to participate in the MAPP program with Walgreens or Boone Drugs, you will be recognized as Walgreens or Boone Drugs customer and your personal information will be treated in accordance with Walgreens or Boone Drugs privacy practices.

Click here to see the list of medications included in the program. If a member is taking one or more of these medications, they should consider receiving them through the mail from the Medco Pharmacy, at a Walgreens retail pharmacy in North Carolina or Boone Drugs and Affiliates. Members can benefit from the services of pharmacists who receive extra training in the medications used to treat these conditions and can speak to members about the importance of taking these medications as directed, when a prescription is filled at either of these pharmacies.

Services offered by the Medco Pharmacy:

1. Savings: Members can save money by receiving up to a 90-day supply for just one lower copayment.

   	Up to a 30-day supply	31-60 day supply	61-90 day supply	Diabetes and Heart Medication 61-90 day supply from Medco, Walgreens Pharmacy or Boone Drugs and Affiliates
   Tier 1 Generic Medications*	$12	$24	$36	$30
   Tier 2 Preferred Brand, without a Generic available	$40	$80	$120	$100
   Tier 3 Non-preferred Brand, without a Generic available	$64	$128	$192	$160
   Brand name drug, with a Generic available	Tier 1 copay + the difference between the Plan's cost of the brand name drug and the Plan's cost of the generic drug, not to exceed $100 per 30-day supply.			$30 generic copay + difference

   *If a generic is included on the Low Cost Generic list it will continue to be $10 for a 90 day supply.
   
   Example: The copay for Actos, a diabetes medication, is Tier 2 for a 30-day supply. If Actos is obtained through this pilot program, it would be $100 for a 90-day supply, with an annual savings of $80.
2. Pharmacists' Counseling: Questions about medications? Experiencing a possible side effect? Medco, Walgreens and Boone Drugs pharmacists are available to answer questions. Pharmacists can discuss your treatment plan thoroughly.
3. Automatic Refills: Members may schedule automatic refills of important medications. For mail order, members may opt into this program and would receive a phone call prior to their automatic refill and shipment of the medication. At Walgreens or Boone Drugs, ask the pharmacist about this option.
4. Extended payment plan (Medco mail order only): This allows members to pay for a 90-day supply of a medication over time instead of all at once.

To get started with this program, or if you have questions, you may call Customer Service at 800-336-5933. For Frequently Asked Questions click here.

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