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PROGRAM OVERVIEW
As an eligible member of the ODS Health Plans prescription drug
plan, you and your eligible dependents are covered under the mail service
pharmacy benefit.
Under this benefit, you can obtain covered "maintenance" prescriptions used
to treat chronic or long-term health conditions (such as high blood pressure or
diabetes) through the mail service pharmacy.
FEATURES AND BENEFITS
- No waiting in lines at the pharmacy
- Delivery is available to your home, office, or other convenient locations
- Over the Counter (OTC) products available at discount prices
- Pharmacists are readily available for consultation
- Prescription transfers upon request
- Placing orders is easy, especially with refills
- Quick turnaround on orders
- Doctors contacted when prescriptions expire or run out of refills
- E-mail notifications sent confirming the receipt of prescription order,
date of shipment, shipment carrier and the tracking number (if applicable)
SAVING MONEY WITH GENERICS
Drugs have two names: a trademark or "brand" name, and a chemical
or "generic" name. By Law, brand and generic drugs must meet the same
standards for safety and effectiveness.
Many brand prescriptions have a less expensive "generic equivalent"
available. Obtaining generic drugs whenever possible can provide you with
savings directly (by paying a lower copayment) and/or indirectly (because you
save money for the plan-which ultimately benefits you).
Ask your doctor to prescribe generic drugs whenever possible.
GENERIC SUBSTITUTION
It is standard pharmacy practice (and in some states required by
law) to substitute generic equivalents for brand drugs whenever possible.
You will receive generic substitutes whenever possible, unless your doctor
will not allow a generic substitute or you specify otherwise on the order form.
YOUR COST
When you have your covered prescriptions filled through the mail
service pharmacy, you share the cost by paying a small "copayment"; the plan
pays the rest. Please refer to your Summary Plan Description for copayment
amounts.
IMPORTANT: If you send the brand copayment, you will not automatically
receive the brand drug instead of a generic substitute. You must
specifically indicate your preference for brand on the order form.
If you are unsure whether your prescription has a generic equivalent
available, please visit the website at
www.whphi.com or call customer service toll-free at 1-800-635-3070.
If you submit the brand copayment and the drug is substituted with a generic,
your account will be credited for the difference. For the greatest
convenience use a credit card for payment.
IMPORTANT - PLEASE NOTE
Your prescription(s) may be filled for up to the plan days supply
maximum when allowed by your doctor, the law, and in accordance with pharmacy
practice. Some medications that may only be dispensed for th3e exact
quantity as written by your doctor include, but are not limited to:
- Controlled substances
- Antidepressants
- Migraine medications
TO ASSIST ORDER PROCESSING
Please make sure your doctor writes LEGIBLY and includes:
- Exact quantity
- Directions
- Number of refills
- DEA number
- Dr.'s full name
- Dr.'s Telephone number
For inhalers, creams, drops, diabetic supplies (or other similarly packaged
medications), make sure specific directions are indicated. For diabetic
supplies, please specify brand and directions.
For example:
- "Inhale 2 puffs every 4 hours."
- "Place 1 drop in both eyes every 12 hours."
- "One -Touch Comfort Curve Strips, test twice daily."
- "Humulin-N, 50 units per day."
- "Apply to rash twice daily for 10 days"
USING THE MAIL SERVICE PHARMACY
For new and refill orders by mail: Always
fully complete the supplied order form (included with each delivery).
Enclose the form with your new written prescription(s) and/or eligible Refill
Request(s) sent with previous orders. New prescriptions may not be
phoned in by you. (You may, however, order refills by phone or
internet; see below.)
To avoid delays: Always include the
appropriate copayment (if applicable), required at the time your order is
placed.
For refills from other pharmacies: If you
would like a pharmacist to attempt to transfer existing prescriptions from your
present pharmacy, provide the following information on a separate sheet of
paper: patient name, medication name, doctor name and phone number, pharmacy
name and phone number. For faster service have your doctor phone in your
prescriptions or write new prescriptions.
Refills by phone (with credit card): Call
the convenient touch-tone refill service toll-free:
1-800-RX-REFILL (1-800-797-3345), 24 hours a day, 7 days a week.
Have your prescription number(s) and credit card ready (en espanol:
1-800778-5427).
Refills via the internet: Visit our
website: www.whphi.com . Have your
prescription number(s), zip code, and store number (from your vial) ready.
Refills too soon: Each bar-coded "Refill
Request" shows the date on or after which you can order that refill.
Orders placed before the refill date will be held and processed on that date.
Prescription expiration date: Most
prescriptions, including refills, expire one year (sometimes sooner) from the
date they are written. Your doctor will be contacted by a pharmacist when
your prescriptions expire or run out of refills. For fastest service, have
your doctor renew prescriptions that have expired or run out of refills prior to
the time that you order.
Prescription delivery: Please allow
two weeks for delivery from the date you mail your order. This allows
time for delivery to and from the mail service pharmacy, plus internal
processing time. Most prescriptions are delivered by U.S. Postal Service.
A re-order form/envelope, an invoice/receipt, an OTC flyer and renewal/refill
cards will accompany each order.
Incase of emergency: Prescriptions can be
shipped overnight for an additional charge to you.
For maintenance drugs you need to start taking right
away: Ask your doctor for two prescriptions: one for a small supply
to be filled at your local pharmacy and one for the mail service pharmacy.
Customer Service: For questions regarding
your order, or to speak with a pharmacist, call toll-free: 1-800-635-3070(TTY
for deaf: 1-800-573-1833) Monday-Friday 7:00 a.m. - 5f:00 p.m. (Pacific)
Other Questions: Please direct questions
regarding the terms of your benefit plan (such as copayment amounts, covered and
non-covered drugs, eligibility, etc.) to your benefits representative or refer
to your Summary Plan Description.
Make checks payable to: Walgreens
Healthcare Plus. Please do not send cash.
Credit cards accepted: Visa, MasterCard,
American Express, Discover.
Mail you order to:
Walgreens Healthcare Plus
P.O. Box 188
Beaverton, OR 97075-0188
This information only highlights your mail service pharmacy benefit.
In case of any discrepancy between this information and the legal documents
describing the plan, the legal documents govern.
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