Your prescription drug benefits are administered by Caremark. As a HealthSelect participant, you have a separate HealthSelect pharmacy ID card issued by Caremark.
For questions about your prescription drug benefits or claims, or to order a new pharmacy ID card, contact Caremark at (888) 886-8490 or visit Caremark's website.
The specialty pharmacy program is provided through Triessent®. This program offers members who have a complex medical condition, requiring specialty medications, convenient delivery of those covered medications as well as coverage coordination and support. You can contact Triessent at (888) 216-6710, Monday through Friday, 7 a.m. to 6 p.m. CT.
Plan Year 2011 Benefits Summary (Effective September 1, 2010)
Copay amounts assume that the $50 Plan Year Deductible has been satisfied.
| Drug Category | *Retail |
*Retail Maintenance |
Mail-Order |
| Tier 1 | $15 |
$20 |
$45 |
| Tier 2 | $35 |
$45 |
$105 |
| Tier 3 | $60 |
$75 |
$180 |
| *Participating pharmacies. For more information on coverage for non-participating pharmacies, refer to your HealthSelect benefits book. | |||
Helpful Links
- Prescription benefit program information for Plan Year 2011
- Caremark's Retail Pharmacy Locator
- Caremark's Drug Formulary
- Caremark Prescription Drug Claim Forms
