Benefits Enrollment & Reference Guide - Harford County Public ...

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Benefits Enrollment & Reference Guide - Harford County Public ...

Rx Drug Program – 3 Tiers

A Total Prescription for Health

Talk to your doctor to make sure you are using drugs

on CareFirst’s Preferred Drug List.

Remember, you’ll save the most money when using

Tier 1 or Tier 2 drugs.

Maximizing Your Benefits

Take advantage of the free programs and resources

available with your CareFirst Rx drug plan.

Generic Drug Education

Made with the same active ingredients as their brand

name counterparts, generics are also equivalent in

dosage, safety, strength, quality, performance and

intended use.

To begin saving money, ask your doctor or pharmacist

if any of the drugs you’re currently taking can be

filled with a generic alternative. You can also visit

www.carefirst.com/rx to learn more about generic

drugs and use our Preferred Drug List to see if a generic

is available to treat your condition.

Rx Specialty Support

When you need specialty medications we will provide

you with personalized care to successfully manage your

condition, including one-on-one therapy support, 24/7

patient assistance, refill reminders and more.

You may receive coverage for a variety of drugs used to

treat the following health conditions:

Cancer

Crohn’s Disease

Growth Hormones

Deficiencies****

Hemophilia

Rheumatoid Arthritis

Hepatitis C

Infertility Treatment

Management****

Multiple Sclerosis

Psoriasis

Online Tools and Resources

To get the most from your Rx drug plan, you need

to stay informed. At www.carefirst.com/rx you will

find the tools and resources you need to understand

your benefits, including drug recalls, cost saving

opportunities and more.

Preferred Drug List — Rest easy knowing that

medications on our Formulary have been reviewed for

quality, effectiveness, safety and cost by our Pharmacy

& Therapeutics Committee and medical staff.

Prescription Drug Information — Our easy-to-use,

interactive tools are available 24 hours a day, 7 days

a week:

Drug Pricing Tool

Refill and Mail Order Information

Pharmacy Locator

Frequently Asked Questions

Printable Preferred Drug List

Drug Interaction Checker and Drug Dictionary

Claims History Tool

Rx Authorize — Some medications are only intended

to be used in limited quantities, while others

require advanced approval. With Rx Authorize, you

have access to a program that can help monitor

your drug therapy, while promoting the use of

clinically approved and cost effective prescription

medications.

Quantity Limits — Look at our quantity limit list to

see if your medication can only be prescribed in

limited quantities.

Step Therapy/Prior Authorization — Use our prior

authorization list to determine if your prescription

requires advanced approval before it can be filled.

Maintenance Medications — Access the most up-todate

list of maintenance medications, usually taken

for 6 months or more to treat chronic conditions.

**** Please review your policy for details on what coverage is available

under your plan.

Harford County Public Schools – Benefits Enrollment & Reference Guide 23

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