What is the generic coinsurance rate for the SMART Choice Pharmacy Network?
100
Max of 30 days for all products
What is the maximum Day supply for Specialty and Wrap Pharmacies
100
These members have a network and design similar to the 2012 program in 2013
What is the benefit in the out of area plan and the CDH Plans
100
Lunesta settlement code of: Use Generic or MD call 1 877 203 0003
What is the settlement code associated with High Performance Generic Step Therapy.
100
The Home Depot's Benefit's office should be contacted.
Who should you never tell the asociattes to call?
200
75%
What is the non FB brand coinsurance rate for the Wrap Network.
200
15 tablets for a 30 day supply.
What is a standard quantity limit for narcotics including Zolipidem?
200
Brand Exception form us used for what purpose?
What is to waive the DAW penality for both doctor or patient requested brands with a generic available. Atorvastatin vs. Lipitor.
200
The Home Depots added these products to the PA list.
How did THD approach the formulary exlusions?
200
This benefit applies to every associate of THD and provides discounts at CVS retail stores.
What is the Extra Care Health Card and who at THD has one?
300
$50
What is Specialty Copay?
300
This is where 90 days supplies are availible.
What is mail service and Tier 1 pharmacies (Kroger, CVS and Walmart)
300
The amount of the pharmacy plan deductible in 2013 is?
What is zero dollars.
300
Being locked into a single pharmacy.
What is a consiquence of abusing narcototics and other sensitive medications?
300
The reason that one member in a plan with the same coverage, could pay $4 for a generic medication and a different member in the same family would pay $7 for the same medication.
What is the benefit of being enrolled in an evidence based plan design.
400
This plan has flat dollar copays for 90 day supplies.
What is rx plan 1.
400
This is where contractption is only covered.
What is tier 1 pharmacies (Walmart, Kroger and CVS) and mail service
400
due to PPACA and Women's Preventitve Care improvements, these products no longer have a member cost share in 2013.
What is contraception?
400
Claim denies for GST edit, why submit a PA request?
What is to avoid the requirement of having tried a generic first.
400
This is a grandfathered program that reduces cost share by 50% and no new members are being enrolled.
How can I join the EVBP design?
500
What is use a tier 1 pharmacy such as mail service or a Walmart, CVS or Kroger pharmacy (plan 1)
How can the associate reduce their out of pocket costs?
500
31-83 day supply
What day supply is not covered at a Tier 1 pharmacy?
500
$1,000/$2,000 or $1,750/$3,000
What is the oop max for the pharmacy plans
500
SGM and Speciality PDPD
What are the product selection and Prior Authorization programs associated with Specialty meds.
500
Each member and dependent get their own upon enrollment with their own names printed on them.