Open Enrollment Extranet for the TRS-ActiveCare

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About Prescription
Benefits
Your Plan Options
Our goal is to make sure you take advantage of all your prescription savings options. Learn about the
savings available under your prescription plan.
*Hint: To compare the 3 plans, click the “Print PDF” button.
Plan Name
Plan Highlights
• Mail: 20% after deductible for generic
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• Mail: 20% after deductible for preferred brand-name
• Mail: 20% after deductible or non-preferred brand-name drugs
• Retail: 20% after deductible for generic
• Retail: 20% after deductible for preferred brand-name
• Retail: 20% after deductible or non-preferred brand-name drugs
• Retail Maintenance after first fill: 20% after deductible for generic
• Retail Maintenance after first fill: 20% after deductible for preferred brand-name
• Retail Maintenance after first fill: 20% after deductible non-preferred brand-name
drugs
• Specialty: 20% after deductible has been met
• Mail service or Retail-Plus for maintenance medicines (up to a 90-day supply), and
retail service for short-term medicines (up to a 31 day supply)
• More than 64,000 pharmacies in the Caremark network
• You usually pay less for your prescriptions when you use generic or preferred brand
drugs. Non-preferred brand drugs may cost you more.
• You must try a generic first before your plan will cover certain brand drugs.
• Some medications require prior approval (or prior authorization) from your doctor
before Caremark can fill and cover your prescriptions.
Learn more...
• Mail: $45 copay for generic
• Mail: $105 copay for preferred brand-name
• Mail: 50% coinsurance for non-preferred brand-name drugs
• Retail: $20 copay for generic
• Retail: $40 copay for preferred brand-name
• Retail: 50% coinsurance for non-preferred brand-name drugs
• Retail Maintenance after first fill: $25 copay for generic
• Retail Maintenance after first fill $50 copay for preferred brand-name
• Retail Maintenance after first fill: 50% coinsurance for non-preferred brand-name
drugs
• Specialty: 20% coinsurance per fill
• Mail service or Retail-Plus for maintenance medicines (up to a 90-day supply), and
retail service for short-term medicines (up to a 31 day supply)
• More than 64,000 pharmacies in the Caremark network
• You usually pay less for your prescriptions when you use generic or preferred brand
drugs. Non-preferred brand drugs may cost you more.
• You must try a generic first before your plan will cover certain brand drugs.
• Some medications require prior approval (or prior authorization) from your doctor
before Caremark can fill and cover your prescriptions.
Learn more...
• Mail: $45 copay for generic
• Mail: $105 copay for preferred brand-name
• Mail: $180 copay for non-preferred brand-name drugs
• Retail: $20 copay for generic
• Retail: $40 copay for preferred brand-name
• Retail: $65 copay for non-preferred brand-name drugs
• Retail Maintenance after first fill: $25 copay for generic
• Retail Maintenance after first fill $50 copay for preferred brand-name
• Retail Maintenance after first fill: $80 copay for non-preferred brand-name drugs
• Specialty: $200 for up to 31 day supply $450 for up to a 32-90 day supply
• Mail service or Retail-Plus for maintenance medicines (up to a 90-day supply), and
retail service for short-term medicines (up to a 31 day supply)
• More than 64,000 pharmacies in the Caremark network
• You usually pay less for your prescriptions when you use generic or preferred brand
drugs. Non-preferred brand drugs may cost you more.
• You must try a generic first before your plan will cover certain brand drugs.
• Some medications require prior approval (or prior authorization) from your doctor
before Caremark can fill and cover your prescriptions.
Learn more...
About CaremarkCustomer
Care
Email us at:[email protected]
Call us toll free at:1-800-222-9205 - TRS-ActiveCare; Customer Care is available 24 hours a day, 7
days a week with your needs.