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Benefits

Prescription Coverage

Prescription Coverage Offered by the Trust

The Washington Teamsters Welfare Trust offers comprehensive prescription coverage to Plan participants. Please select your plan below to find out more about your prescription ordering options and benefit offering.

Please refer to your plan booklet to see your specific prescription coverage or log in to www.nwadmin.com to see the details of your plan.

Trust Medical Plan
Kaiser Permanente Plan
Overview

MedImpact administers your prescription drug program and provides a nationwide network of pharmacies. A list of the network pharmacies and the Mail Order pharmacy is available through the MedImpact website or by calling the Pharmacy Helpdesk at (800) 788-2949 for more information.

Prescription drug benefits are not subject to the medical plan deductible, and the reimbursement level doesn’t change when your medical plan coinsurance out-of-pocket maximum is satisfied. For 2017, out-of-pocket maximums are $2,150 per person, or up to $4,300 per family – after which there is no longer a co-pay amount for the remainder of the year.


								
Retail Pharmacies

Your retail pharmacy benefit depends on whether the prescription drug is a brand name or generic and whether you buy your prescription drugs at a MedImpact network pharmacy. You pay only your share of the cost to the pharmacy when you purchase your prescription. The Plan then pays the balance of the cost directly to the pharmacy. Except in medical emergencies, only prescriptions purchased at a MedImpact network pharmacy are covered by the Plan.

 

Medical Plans A, B, C, and Z

Prescription Drugs – Retail Pharmacy

Type of Drug Recommended Network Pharmacy – you pay: Regular Network Pharmacy – you pay: Non-Network Pharmacy (medical emergency only) –you pay:
Generic 10% of the drug cost 15% of the drug cost $9 handling fee in addition to your normal cost share
Formulary Brand (preferred) 30% of the drug cost 35% of the drug cost $9 handling fee in addition to your normal cost share
Non-formulary Brand (non-preferred) 40% of the drug cost 45% of the drug cost $9 handling fee in addition to your normal cost share

 

Medical Plan JC28XL

Please refer to your plan booklet to see your specific prescription coverage or log in to www.nwadmin.com to see the details of your plan.

Find a pharmacy near you.

Mail Order

You can save time and often money by using the Mail Order prescription program. When you use the network Mail Order pharmacy you pay only the co-pay amount and in many cases can get a larger supply of your medication (up to 100 days):

Generic – 10% of the drug cost or up to a maximum $15 co-pay per prescription

Formulary Brand (preferred) – 30% of the drug cost or up to a maximum $90 co-pay per prescription

Non-Formulary Brand (not preferred) – 40% of the drug cost or up to a maximum $130 co-pay per prescription

For Trust Medical Plan Mail Order Rx visit the Union Center Pharmacy or call (800) 441-9174.

 

Medical Plan JC28XL: Please refer to your plan booklet to see your specific prescription coverage or log in to www.nwadmin.com to see the details of your plan.

Specialty Pharmacy

The Plan offers a specialty prescription drug program that covers medications used to treat the following health conditions:

  • Crohn’s disease
  • Growth hormone deficiency
  • Hepatitis C
  • HIV/AIDS
  • Multiple sclerosis
  • Psoriasis
  • Rheumatoid arthritis

Prescription medications covered under the specialty prescription drug program may change from time-to-time.

You can order many specialty prescription drugs through the Plan’s Mail Order pharmacy, which can save you money. You can get a 100-day supply for 10% of the drug cost or $15 co-pay (whichever is the lesser) on generic drugs, or 30% of the drug cost or $90 co-pay per prescription for brand-name drugs. Ancillary supplies, such as syringes and alcohol swabs are included with your order at no charge. Your medication will be delivered to your home or doctor’s office at no cost to you.

If you have questions about the specialty prescription drug program or need to refill a prescription, call the Union Center Pharmacy at (800) 441-9174.

Overview

Kaiser Permanente (formerly Group Health) Medical Centers has 21 pharmacies in Western Washington, four pharmacies in Spokane, and a mail-order service.

Approved Prescriptions

Kaiser Permanente has a list of medications called a Formulary, which are covered through your plan. The list includes both generic and certain brand‑name drugs. If your personal physician determines that you need a particular medication for a drug that is not on the list your physician can request that it be covered, which Group Health will review for approval.

To check whether your prescriptions are covered, please view the Formulary PDF or visit Kaiser Permanente’s website.

Retail Pharmacies

If covered by your plan, any prescription from a doctor can be filled at Kaiser Permanente Medical Centers pharmacies or at any of Kaiser Permanente’s network pharmacies (pharmacies that Kaiser Permanente contracts with, but does not operate). Click here for a complete list of all the Kaiser Permanente Medical Centers and network pharmacies.

Mail Order

Refills can be mailed to your home with no shipping or handling fees by using the Mail Order option. Be sure to plan ahead if you use this service as deliveries can take up to 10 days, although in most cases, they may arrive sooner.

Call the Kaiser Permanente Mail‑Order Pharmacy Service at (800) 245-7979 or download a mail‑order request form, include a check or your credit card information, and drop the form in the mail. To fax, complete a mail‑order request form and fax the form to (206) 901-4443.

Online

Register online with Kaiser Permanente Online Member Services and then complete a one‑time ID verification process. Once registered, you can log in to Member Services and order your prescriptions online.