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Prescription Drug Benefit

Your Prescription Drug Benefit Program in addition to your Blue Cross Blue Shield medical program.

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Overview Mail Service Retail Service Drug Comparison Chart	Preferred Prescription Common Questions Fallon Benefits

Your Prescription Drug Benefit Program under The Teamsters Local 170 Health & Welfare Fund prescription drug program is administered by Medcohealth Solutions Inc., administrator of the retail pharmacy program, and Merck-Medco Rx Services, provider of the mail service pharmacy program.

Prescription Drug Program Overview

Features	Retail Program	Mail Service Pharmacy
When to Use	When you need a prescription on a short–term basis, (for example, an antibiotic to treat strep throat)	For prescriptions you use on a regular basis (for example, medication to reduce blood pressure)
Supply Per Prescription/Refill	Up to 34 days	Up to 102 days
Prescription Drug Deductible	None	None
Your Cost Per Prescription/Refill	Participating pharmacies $5.00 copayment per generic medication up to a 34–day supply $10.00 copayment per brand name medication up to a 34–day supply Non–participating pharmacies Pay in full and submit a claim to PAID Prescriptions. Reimbursement will be the amount that would have been charged by a participating pharmacy, less the applicable copayment.	$0.00 copayment per generic medication up to a 102–day supply $ 10.00 copayment per brand name medication up to a 102–day supply If this is your first prescription, ask your doctor for two prescriptions: the first for a 14–day supply to be filled at a participating retail pharmacy; the second for the balance, up to a 102–day supply, to be filled through the mail service pharmacy
Member Services	1–877–667–9347 Monday–Friday, 8 a.m.–Midnight Saturday, 8 a.m.–6 p.m., Eastern Time	1–877–667–9347 Monday–Friday, 8 a.m.–Midnight Saturday, 8 a.m.–6 p.m., Eastern Time

Medcohealth On The Internet
Visit our website for important patient information, to refill your mail service prescriptions, to check the status of your mail service pharmacy order, order mail service envelopes and find a participating retail pharmacy near you. Reach us at www.medcohealth.com.

Member Services
Call Member Services:

• When you have a question about either the retail program or the mail service pharmacy
• You need to locate a participating pharmacy

Monday-Friday, 8 a.m.-Midnight
Saturday, 8 a.m.-6 p.m., Eastern Time

If necessary, a registered pharmacist is available for emergency consultations 24 hours a day, seven days a week by calling the toll-free Member Services number above.

Special Services
The TDD number for the hearing-impaired is 1-877-667-9347.

For our vision-impaired customers, upon special request with your order, the pharmacist will provide Braille labels for your medication vials.

Medcohealth Solutions, Inc
Medcohealth Solutions, Inc, PAID Prescriptions, L.L.C., and Medcohealth Rx
Services are subsidiaries of Merck & Co., Inc.