| Your doctor needs to give you a prescription for medication |
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| Your prescription is a formulary drug. |
You give your doctor your formulary listing and ask him/her to prescribe you a drug from the Select Drug Program Formulary, if possible. (Your cost sharing will be less if the drug is on the formulary.) |
Your prescription is NOT on the formulary |
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| Your doctor reviews the formulary and decides that a drug on the formulary can treat your condition. He gives you a prescription for your medication. (If you are taking a maintenance medication, you may obtain a second prescription for your 90-day refill through mail order.) |
Your doctor reviews the formulary and decides a covered non-formulary drug fits your needs better and writes you a prescription. (If you are taking a maintenance medication, you may obtain a second prescription for your 90-day refill through mail order.) |
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| You take your prescription to your local FutureScripts® participating pharmacy.* Your pharmacist fills your prescription and charges you the lower generic or brand formulary copayment |
You take your prescription to your local FutureScripts participating pharmacy.* Your pharmacist fills your prescription and charges you the higher non-formulary copayment. |
If this drug is a maintenance medication, you may send your second prescription to our mail order pharmacy to receive your next 90-day supply. You will pay two times the generic or brand formulary copayment for a formulary drug or two times the higher non-formulary brand copayment for a covered non-formulary drug.
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Simply return to your pharmacy if a refill is indicated. You will pay the generic or brand formulary copayment for a formulary drug or the higher non-formulary brand copayment for a covered non-formulary drug. You can receive up to a 30-day supply of your medication at a retail pharmacy. |
