Prescription Benefit for NBF–Rochester Members
Change to CVS Caremark
CVS Caremark has replaced Express Scripts as our Pharmacy Benefit Manager. Login or create an account on the 1199SEIU CVS Caremark member portal at Caremark.com.
The Preferred Drug List (PDL)
Have your doctor prescribe preferred 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.
Participating Pharmacies
Fill short-term prescriptions at participating pharmacies.
Maintenance Medications
Maintenance medications – those you take on an ongoing basis for conditions such as high blood pressure, diabetes or high cholesterol – may be filled as 30-day or 90-day supplies. The Fund’s pharmacy network offers easy and convenient pharmacy choices for filling maintenance medication prescriptions. Your provider can e-prescribe (mandated by NYS law) prescription orders for maintenance medications to CVS, Walgreens, Duane Reade or other participating pharmacies.
Prior Authorization
Some medications and services require prior authorization. If your doctor thinks you need a medication that is not on the Preferred Drug List, call CVS Caremark at (833) 250-3237 or CVS Specialty at (855) 299-3262.
Specialty, Step Therapy and Quantity Duration Drugs
In order to continue to safeguard your health while providing you access to the medications you need, we use prescription programs such as our specialty medications list and drug quantity management drug list.
For More Information
Call (646) 473-9200.Who Is Eligible?
Family Coverage — Wage Class I
Wage Class II and III — Covered for diabetic supplies (these are covered through your medical benefit)
Not sure what wage class you are?
Check the front of your Health Benefits ID Card, or click here for an explanation.