SDOC Enrollment Training Notes - Updated (2022 08 06)

Prescription Drug

Healthy Choice

Healthy Advantage

Pharmacy

Non- Preferred (CVS, Walgreens, Rite-Aid) $300 (waived for preferred generics)

Preferred (Independents, Publix, Wal-Mart Family of Stores, Costco )

Non- Preferred (CVS, Walgreens, Rite-Aid) $75 (waived for preferred generics)

Preferred (Independents, Publix, Wal-Mart Family of Stores, Costco )

Deductible

$0

$0

Generics obtained at the SDOC Health Center

$0

$0

$0

$0

Preferred Generics Preferred Brand Non-Preferred Brand

$10

$6

$10

$6

20$ up to $75 50% up to $200

$45

20% up to $50 50% up to $150

$45

50% up to $150 50% up to $200

50% up to $150 50% up to $200

Specialty Elect Rx

No Coverage

No Coverage

$0

$0

$0

$0

Elect Rx

Phone: 1-855-Elect RX (1-855-353-2879) Fax : 1-833-Elect RX (1-833-353-2879) email: info@electrx.com What is Elect Rx? A provider who can obtain a 90-day supply of expensive brand-name prescription medication overseas (countries such as Canada, England and New Zealand) from trustworthy pharmacies and has them delivered to the employee—at no charge to the employee If they indicate / suggest they take a high-cost brand name medication 1. Refer them to ElectRx in order to confirm if any of medication(s) they are taking are on the ElectRx formulary. 2. Let them know if the medication is available through Elect Rx, they should make sure have a 30-day supply on hand for the transition period to Elect Rx AND their doctor will need to send a prescription via fax to ElectRx for a 90-day supply and 3 re-fills. 3) Share with them that once ElectRx has their basic personal information and the prescription, it usually takes 10-15 days, for them to receive the Rx.

Obtaining Generics(when possible), using Preferred Pharmacies and seeing if Elect Rx is a fit for more costly prescriptions are 3 ways for employees to effectively use their Rx benefit

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