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To use your pharmacy coverage, present your
member ID card at a participating pharmacy. Some members have a separate drug card
for pharmacy benefits. Your ID card should list your copayments and coinsurance
if applicable.
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Pharmacy Claim
Search: Your prescriptions claims history, including prescription number, date
filled, prescriber, quantity, pharmacy, amount paid by you and amount paid by your
pharmacy plan.
Note: To access information about your personal pharmacy claims, you must
register to use
My Blueprint, our member self-service center.
Network Pharmacy Search:
Search for a network pharmacy by name, city, state or zip code. Maps and driving
directions are provided.
Find Drug Information: Information
about medications, their use, how to take them, and possible side effects.
Federal Employee Program (FEP):
Information on providers, pharmacy programs, benefits and resources for federal
employees.
Mail-Order Drugs: A description of the mail-order option
some employers have chosen for their employees and a link to the mail-order form.
Prescription Claim Form (882 KB PDF): Printable form in portable document format (PDF).
Specialty Drugs: A description of the program that
covers injectable and select oral medications.
Using Your Pharmacy Benefits: How to use your
benefits and the advantages your pharmacy plan offers you.
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Go Generic: Information about the cost and quality of
generic drugs, including:
Please see Medi-Pak Choice 2010 for 2010 Medi-Pak Rx (PDP) and Medi-Pak Advantage MA-PD (PFFS) formulary and prior authorization information.
Formulary One (2068 KB PDF): List of common generic, preferred and third-tier drugs and those that require prior authorization.
Formulary One Preferred Drug List (44 KB PDF): Generic and lower-cost brand-name medications.
Formulary Three (338 KB PDF): Commonly Prescribed Drugs Not Covered
Formulary Three (420 KB PDF): Commonly Prescribed Covered Drugs
Formulary Two (2816 KB PDF): (formerly called Complete Care)
Maintenance Drugs (45 KB PDF): Medications considered to be necessary for long periods of time.
Prior Authorization List (31 KB PDF): Medications that require prior approval. For authorization, call (501) 378-3392.
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