Egyptian Trust EGYPTIAN AREA SCHOOLS
EMPLOYEE BENEFIT TRUST



Benefits Plans

All Plans Comparison 9-1-11

You have the option to fill the first two months of a newly prescribed maintenance medication at any local retail pharmacy for the normal 30 day co-pay. After the first two fills of a maintenance medication, each fill afterward will be required to be a 90 day fill at either an Express Scripts Maintenance Drug Network (MDN) pharmacy or through Home Delivery. You can buy up to a 30 day supply of any covered medication that is not a maintenance medication and is not a specialty medication at any retail pharmacy.

You are required to purchase specialty drugs through CuraScript Specialty Pharmacy and are limited to a 30 day supply. Specialty drugs are very high cost biologic and injectable drugs that are not typically stocked by retail pharmacies. If a member tries to fill a specialty script at retail, the pharmacy will notify the member that the drug must be ordered from Curascript. You may begin using CuraScript for those specialty medications at any time by calling 866-848-9870.

The document "Maintenance Medications” is a list of the medications that are currently considered maintenance drugs. The “MDN Participating Provider List” contains the information for those providers participating in the network as of the end of October 2010. Pharmacies who are not currently contracted under the Express Scripts MDN network can contact the Contracting Department at 866-296-9943 to request a MDN network contract.
Maintenance Medications   MDN Participating Provider List

PLATINUM

GOLD

SILVER

BRONZE

Effective
September 1, 2011

Effective
September 1, 2011

Effective
September 1, 2011

Effective
September 1, 2011

Each Schedule of Benefits now includes:
Pre-Certification/Utilization Management List as of 9/1/11
Preventive Benefits Flyer 9/1/11
Consult A Doctor Welcome Letter
2011 Preventive Drug List – Bronze Plan Only

newConsult A Doctor

Consult A DoctorTM connects you and your family with licensed physicians, 24 hours a day, 7 days a week, via phone or e-mail. Need medical advice at 2 a.m.? Or, a prescription recommendation while traveling? Consult A Doctor delivers the finest physician care – anytime, anywhere, for anyone.