Rochester-Area Members

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
• $4 co-payment for drugs on the Preferred Drug List (PDL).
• You pay a differential if your doctor prescribes a drug that is not on the PDL.
• Fill your short-term prescriptions at participating pharmacies.
• Long-term medications must be filled through The 90-Day Rx Solution. the Benefit Fund’s maintenance drug access program. Just ask your doctor to write your prescription for a three-month supply with three refills (a year’s supply in total). 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. Click here for a Medco by Mail order form.
• 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 Funds’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 — Covered for diabetic supplies
(these are covered through your medical benefit)

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

Click here for a full overview of your health benefits.