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  • Home > Health Plan > Prescription Plan> 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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2120 Bladensburg Rd., NE
 Washington, DC 20018