PRESCRIPTIONS

When you enroll in a health care plan you will automatically be enrolled in the prescription drug plan managed by Medco Health Solutions, Inc. (Medco). The only exception is the Special Medicfill Plan without Prescription coverage for those pensioners who have chosen to enroll in Medicare Part D for their prescription coverage. The Coordination of Benefits (COB) policy also applies to prescription coverage. If your spouse or dependents have other health coverage that is primary (pays first), the prescription coverage provided through the State’s plan for the spouse or dependents will become secondary.

The State of Delaware, in partnership with Medco, has designed and implemented a comprehensive prescription drug program to provide you with the medications required in a cost effective and efficient manner. Your copays remain unchanged for the coming plan year.

If you have specific questions, contact Medco’s Member Services at 1-800-939-2142. 24 hours a day, 7 days a week, pharmacists are also available around the clock for medication consultations. Medco’s website, www.medco.com offers extensive online resources, including health and benefit information and online pharmacy services.

Drug Recall

• Digitek (Digoxin) Recall
  • Actavis recalls all lots of heart drugs Bertek and Digitek (PDF)
  • Actavis initiated a class 1 recall of Digitek (digoxin) all strengths for oral use (DOC)

Plan Administrator - Medco

• Medco Website

Member Services 1-800-939-2142
Available 24 hours a day, 7 days a week, 363 days a year
(Closed Thanksgiving and Christmas Days)

Documentation and Forms

• Diabetic Program - Medicine and Supplies (.pdf)
• Link to complete preferred formulary - www.medco.com/preferredprescriptions
• Formulary - Preferred Prescriptions - as of January 1, 2008 (.pdf)
• Coverage Review Process – 10-2006 (.pdf)
• FAQ (.pdf)
• Picture of Identification Card
• 90 Day Participating Pharmacies (.xls)
• Welcome Kit
  • Letter of Introduction (.pdf)
  • Your Pharmacy Benefit Program Handbook (.pdf)
  • Identification Cards --- MUST be used to obtain prescription at retail pharmacy (.pdf)
  • Medco by Mail Order form to request refills or have new prescriptions filled (.pdf)
  • Coordination of Benefits/Direct Claim form to request secondary coverage or request reimbursement (.pdf)
  • Prescription Fax form to submit prescriptions by fax, use fax number on form (.pdf)
  • Health, Allergy & Medication Questionnaire form for each participant (not available to place on site at this time)
    (some families may receive in a separate mailing). Please contact Member Services to receive replacement or additional copies.
    
    
• Medicare Part D
  
  • Frequently Asked Questions (FAQ) About Creditable Coverage and
    Medicare Part D: What do they mean to you? (.pdf)
  • Notice of Creditable Coverage (.pdf)