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Questions
Prescription Plan
Frequently Asked Questions
Q. What does Caremark do?
Caremark is a leading
pharmacy benefit manager. We provide prescription services, disease
management programs, and a complete specialty pharmacy for patients with
chronic conditions.
Q. What is my Group Code? Your Group Coed
is LOC67. It is located on your Prescription Card.
Q. What is my Participant ID Number?
Your participant ID number is the
number used to identify your Caremark account. The number could be a unique
number or letter-number combination assigned by your plan sponsor, or it
could be your Social Security Number, depending on the ID format that your
plan sponsor supports. You will find your participant ID number on your
Prescription ID Card.
Q. What Credit Cards can I use for payment?
Caremark accepts VISA?, MasterCard?, American Express?
and Discover? credit cards as well as Visa and MasterCard check
cards.
Q. May I obtain my
medicine from a non-participating pharmacy?
In most instances, you will not need to visit a
non-participating pharmacy, because the Caremark program includes more than
59,000 local participating retail pharmacies. When you choose to go to a
non-participating pharmacy, you will pay 100% of the prescription price
Q. Why should I use the Caremark Mail Service
Program for my prescriptions?
The Caremark Mail Service Program provides a
convenient and cost-effective way for you to order up to a 90-day supply of
maintenance or long-term medication for direct delivery to your home, office
or location of your choosing. By using your mail service program, you
minimize trips to the pharmacy while saving costs on your prescriptions.
With most benefit plans, up to a 90-day supply is dispensed by the mail
service pharmacy for the cost of one co-payment.
Q. Why did I receive a
30-day supply rather than a 90-day supply?
You may have received a 30-day supply for a
variety of reasons. First, your doctor may have written the prescription for
30 days. If this is the case, legally Caremark must fill your prescription
as written by your doctor. It is important you ask your doctor to write a
prescription for up to a 90-day supply, with up to three refills, if
clinically appropriate.
Q. Why did I receive a generic when my doctor prescribed a
brand? When
your doctor wrote your prescription, he/she checked off the box “may
substitute.” This means that we were able to fill your brand name medicine
with the generic equivalent. And, while you may have a concern about whether
or not generics work as well as their brand name counterpart, there should
be no concern about using a generic medicine. A generic medicine will look
different and have a different name than the brand name version medicine,
but it undergoes the same detailed approval process by the Food and Drug
Administration (FDA). Generic medicines contain the same active ingredients
in the same amounts and work just as well as the brand name medicine.
Generic drugs are less expensive, in part, because generic manufacturers do
not have the same investment costs associated with the development of new
drugs. Caremark works in the best interest of participants. Remember, a
generic medicine is a copy that is identical to a brand name in dosage,
safety, strength, how it is taken, quality, performance and intended use.
They are always more cost-effective than brand name medicine. If you have
any further questions please give your doctor a call. If your doctor
specifies "Dispense as Written" on the prescription, we will fill the
prescription with the medicine as written.
Q. How soon can I order a prescription refill?
Locate the "order after"
date at the bottom of your prescription label. For most prescriptions, you
may order non controlled medicine at least 56 days after the last fill date.
For controlled medicines, you may order refills at least 66 days after the
last fill date. When ordering refills from Caremark by phone, you will
receive a message if your prescription is "Too soon to refill," and you will
be given the date when refills will be available. If you place a refill
order during the period 60 days prior to the expiration of your
prescription, you will receive a message telling you when the prescription
will expire and reminding you to contact your doctor to renew your
prescription.
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