The Plan has a three-tiered pharmacy benefit program, under which you pay 20% of the cost for generic drugs, 30% of the cost for Preferred Brand drugs and 50% of the cost of Non-Preferred Brand Drugs.

To obtain a prescription at a PBM Network pharmacy, you must present your drug plan identification card and your doctor’s prescription at the pharmacy. You will be asked to pay the appropriate copayment for your prescriptions.

If you do not show your card or if you use a non-Network pharmacy, you will pay 100% of retail price, and the Plan will reimburse you 50% of the retail price if the prescriptions were obtained in conjunction with emergency services provided out-of-area (i.e., more than 30 miles from the nearest PBM pharmacy).

If you obtain a prescription at a Network pharmacy without presenting your drug ID card and pay 100% of the cost, you may return to the pharmacy within 14 days and present your ID card. In some cases and based upon the rules of each pharmacy, you may be able to obtain reimbursement up to the amount of your copay.

Using the mail service pharmacy is simple. When your doctor prescribes a maintenance drug, ask that the prescription be written for a 90 day supply, with the number of refills indicated. Next, complete a patient profile form (if this is your first order) and an order form, and send them to the Fund’s mail service pharmacy along with the appropriate copayment. You can download and print a copy of the order form from the Forms & Documents section of this website. The order form, patient profile questionnaire and pre-addressed envelopes are also available from the Administrative Office.