Prescription Benefit

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.

The 90-Day Rx Solution

Fill long-term medications through The 90-Day Rx Solution, the Benefit Fund’s maintenance drug program. Ask your doctor to write your prescription for a three-month supply with three refills (a year’s supply in total) and fill it through CVS Caremark Mail Service Pharmacy, or order and pick up your prescription at any CVS, Rite Aid, Walgreens or Duane Reade pharmacies nationwide.

• CVS Caremark Mail Order Form
• Formulario de pedido por correo de CVS Caremark
• Prescription Drug Reimbursement Form (Direct Claim Form)

Participating Pharmacies

Fill short-term prescriptions at 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.

Additional Resources

• Summary Plan Description (SPD)
• Overview
• Prescription Drug Reimbursement Form (Direct Claim Form)
• Summary of Benefits and Coverage (SBC)
• Pharmacist Authority to Administer Vaccines by State New