Prescription Benefit for National Benefit Fund Members
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 Express Scripts by Mail, or order and pick up your prescription at any Rite Aid, Walgreens or Duane Reade pharmacies nationwide.
Fill short-term prescriptions at participating pharmacies.
Specialty, Step Therapy and Quantity Duration Drugs
In order to continue to safeguard your health while providing you access to the medications you need, Express Scripts has expanded some of our prescription programs, such as our specialty medications, step therapy drug list and drug quantity management drug list.
Who Is Eligible?
Family Coverage — Wage Class I
Wage Class II and III are not coveredNot Sure What Wage Class You Are?
Check the front of your Health Benefits ID Card, or click here for an explanation.
Mental and Behavioral Health
Forms for Members
Summary Plan Descriptions (SPDs)
HIPAA Notice of Privacy Practices
Keeping Your Coverage
COBRA Continuation Coverage
This benefit provides a financial cushion if you are temporarily unable to work due to non-work-related accidents, injury or illness.