National Benefit Fund
Prescription Programs
The Preferred Drug List (PDL)
Have your doctor prescribe generic and brand name drugs on the 1199SEIU Preferred Drug List (PDL). Share this list with your doctor, and work together to find the best covered option for you. If your doctor prescribes a drug in a category covered by the Benefit Fund, but you don't see it on the Preferred Drug List, just ask your doctor to prescribe any generic medication or a brand-name if there are no generics available.
Frequently Asked Questions About the PDL
The 90-Day Rx Solution/Medco by Mail Order Form (PDF format)
Fill long-term medications through The 90-Day Rx Solution, the Benefit Fund's maintenance drug program. Ask your doctor to write your prescription for a three-month supply with three refills (a year's supply in total), and fill it through Medco by Mail, or order and pick up your prescription at a Rite Aid Pharmacy in New York or New Jersey.
Medco by Mail Order Form
Medco Prescription Reimbursement Form
Participating Pharmacies
Fill short-term prescriptions at participating pharmacies.
Prior Authorization
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.
Specialty, Step Therapy and Quantity Duration Drugs
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 step therapy drug list and quantity duration drug classes.
NEED LIST OF DRUGS FOR PRIOR AUTHORIZATION, SPECIALTY, STEP AND QUANTITY DURATION
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.