Useful Resources

• Preferred Drug List (PDL)
• List of Participating Pharmacies
• Medco by Mail Order Form
• Medications Requiring Prior Authorization
• Specialty Medications
• Step Therapy Drug List 
• Quantity Duration Drug List
• Medco Prescription Reimbursement Form

There’s no cost to you for your prescriptions, and only a $3 co-pay for brand-name prescriptions, when you follow the Benefit Fund’s prescription program:

• Use generics and drugs on the 1199SEIU Preferred Drug List (PDL).
• Use participating pharmacies for short-term medications.
• Order maintenance medications using The 90-Day Rx Solution. Then fill it through Medco by Mail, or order and pick up your prescription at a Rite Aid Pharmacy in New York or New Jersey.
• Some medications require prior authorization. If your doctor thinks you need a medication that is not on the Preferred Drug List, call the Fund at (646) 473-9200.
• Effective September 1, 2009: In order to continue to safeguard your health while providing you access to the medications you need, Medco has expanded some of our prescription programs, such as our prior authorization list, step therapy drug list and quantity duration drug classes.

Think Generics First!

Always ask your doctor to prescribe generic drugs from the Fund’s PDL where possible. The generic drugs listed on the Fund’s PDL have the same effectiveness as the name brands, but they cost much less.

Remember, if your doctor prescribes a brand-name even though a generic is available, or a non-covered medication, you will have out-of-pocket costs.

For more information, call (646) 473-9200.

Who Is Eligible?

Family Coverage — Wage Class 1
Wage Class 2 and 3 are not covered

Not sure what wage class you are? Check the front of your Health Benefits ID Card, or click here for an explanation.

Click here for a full overview of your health benefits.