Summary Plan Description

Medco Health Retail Pharmacy Program

This Benefit Is For Individuals Without Medicare
The Medco Health Retail Pharmacy Program is a nationwide network of major pharmacy chains and independent pharmacies. This program is best for short-term care when you need a prescription filled immediately:

  • Find a participating retail pharmacy close to your work or home. Participating retail pharmacies generally display the Medco Health decal. If you need assistance, please contact the Trust Office.
  • When you purchase a prescription, show your Medical & Prescription ID Card to the pharmacist.
  • There is a copayment for each prescription or refill purchased from a participating retail pharmacy:
    • $7 copayment for each generic prescription.
    • $15 copayment for each brand-name prescription listed on the drug program formulary.
    • $30 copayment for each brand-name prescription not listed on the drug program formulary.
  • Prescription drugs are limited to a 30-day maximum supply.

Helpful Hint

You may be given a generic equivalent of the prescribed drug by your pharmacist when available and permissible under the law, unless your physician indicates otherwise.

Helpful Hint

If you purchase a prescription drug from a participating retail pharmacy but forget your Medical & Prescription ID Card, the pharmacist may be unable to authorize the purchase and may require you to pay full retail price. You must then submit a Prescription Drug Reimbursement Form to Medco Health. Medco Health will reimburse you at 100 percent of the "average wholesale price"—the program's discounted price—less the appropriate copayment.