- Prescriptions must be processed to become eligible for refunds.
- Some drugs eligible for refunds may not be shown on the Relative drug Value Index.
- A complete drug record is needed for your safety checks.
Frequently Asked Questions
How do I use this benefit card?
What does "Calculated" Co-pay mean?
How do I get refunds?
What happens if my pharmacy's regular price is lower than the negotiated price?
How can I tell if my prescription has been transmitted?
Do I need to send my pharmacy receipts to anyone?
What pharmacy can I go to?
What can I do if a pharmacy will not honor my drug card?
Can I transfer my prescriptions to a pharmacy that will honor my card?
What prescription quantity can I get?
How do I use this benefit card?
Take this card and your prescription to any pharmacy you choose. If the store is already enrolled in the network, the pharmacist will do the rest. If yours is not a network pharmacy, have your pharmacist call the toll-free number on your card. The pharmacist can immediately arrange to transmit your prescription. Be sure to tell your pharmacist to start transmitting all your refills and new prescriptions to the processor because...
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What does "Calculated" Co-pay mean?
This means that although you pay the full cost of your prescription to the pharmacy, the processor calculates the amount electronically. Your price includes a discount off the cost of the drug and the pharmacist's dispensing fee. This negotiated price is generally much lower than the pharmacy's regular price, but this does not limit any refund that you may receive on the drug dispensed.
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How do I get refunds?
If your prescription is written for a refundable drug, you qualify for refund credits. These are additional savings allocated to you when you fill the prescription. As refund moneys are received, they are deposited into a special account and distributed periodically.
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What happens if my pharmacy's regular price is lower than the negotiated price?
The pharmacist should submit the regular price to the processor. The processor allows only the lower of his regular price or the negotiated price. (It is not uncommon for some stores to advertise "loss leader drugs" - drugs that they are willing to lose money on to encourage customers to come to their pharmacy.) If your drug is advertised at a lower price than the negotiated price the pharmacist should submit the advertised price to the processor. (The fact that the drug is "on sale" will not affect your ability to qualify for a refund, not will it limit the refund amount.) Do no allow yourself to be penalized because your prescription is being transmitted! Remember your prescription must be transmitted to the processor to qualify for a refund. Processing is also needed for safety checks of your drug profile.
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How can I tell if my prescription has been transmitted?
A prescription that has been electronically processed should have a 11-digit "Claim Reference Number" printed on your receipt or label. Always check for this number. This way you can be assured that you have received the lowest price; that your medication has been checked against your central profile for problems; and that you will receive credit for any refunds the prescription may generate. Your pharmacist should be glad to show you where this number appears on your receipt or label.
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Do I need to send my pharmacy receipts to anyone?
NO. Your prescription is automatically validated; checked against your profile; and credited for refunds when it is processed.
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What pharmacy can I go to?
This plan recognizes any willing pharmacy provider. Any pharmacy that agrees to meet the plan's conditions and electronically submit your prescription can fill it for you. Thousands of pharmacies across the USA have already agreed to do this. However, if your personal pharmacy is not a member of this network, the pharmacist can call the toll-free number on your membership card and immediately arrange to process your prescriptions.
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What can I do if a pharmacy will not honor my drug card?
This plan recognizes any willing pharmacy provider. Any pharmacy that agrees to meet the plan's conditions and electronically submit your prescription can fill it for you. Thousands of pharmacies across the USA have already agreed to do this. However, if your personal pharmacy is not a member of this network, the pharmacist can call the toll-free number on your membership card and immediately arrange to process your prescriptions.
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Can I transfer my prescriptions to a pharmacy that will honor my card?
YES. The pharmacist at the store you wish to transfer your prescription to can usually do this for you.
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What prescription quantity can I get?
This is determined by your physician. This plan does not limit quantities. Generally, you will get a better price at the pharmacy for larger amounts. If yours is a maintenance drug (one that you will be taking for a long time) you might ask your doctor to prescribe the most economical amount that is safe for you. Many factors determine the quantity of drug to prescribe - you should discuss these with your doctor.
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