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January 14, 2010

New Prescription Drug Cards for Protector Plus & Apex Policy Holders

This week, new prescription drug cards were mailed to your Protector Plus and Apex policyholders that have a current Caremark prescription drug card. Clients should discard their current drug card and replace it with the new card immediately, as pharmacies will no longer be able to process prescription drug claims when the old drug card is used.

The new drug card comes with a revised prescription drug benefit, as described in earlier communications:

  • $50 per person annual deductible, then:
    • $15 Copay for Generics
    • $30 Copay for Formulary Drugs after deductible
    • $50 Copay for Non-Formulary Drugs after deductible
    • 25% Copay for Specialty Drugs after deductible
  • No coverage for Mental Nervous Medications*
  • Oral Contraceptives covered only in Illinois, Arkansas, and Missouri

*Does not apply to policyholders in Arizona, policyholders with effective dates prior to 4/1/07 in Illinois, or policyholders with effective dates prior to 8/17/09 in Arkansas.