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Health Care - OCSEA / AFSCME Local 11 / AFL-CIO

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Your source on union-negotiated health care benefits

Changes in the mail-in drug program for Ohio Med participants; Pay balances

May 25, 2004 - As most union members know, the vendor for the mandatory mail-in drug program for Ohio Med participants is changing for the new benefit year beginning July 1, 2004. Effective July 1, Ohio Med Participants will use Express Scripts Incorporated instead of Medco Health for their pharmacy benefit manager.

Because Medco doesn’t want to left with unpaid balances when its contract expires, it reduced the amount of an unpaid balance a member can owe before future shipments are refused from $120 to $60. That means, for example, if you owe Medco more than $60 it will not ship your prescription until you pay that with a credit card or a check.

On June 1, Medco will not ship drugs if the person owes $1.00 that means people will have to pay for their drugs at the time of submitting their prescription with a check or credit card. For any union member who owes more than $1.00 to Medco, they will not fill or re-fill any prescriptions until the balance due is paid.

Employees who have critical-need situation regarding obtaining their prescription drugs this can contact DAS Benefits at 800/409-1205.

The State has arranged with the new vendor, Express Scripts, to increase the balance-due amount from $120 to $250 effective July 1, 2004. This increase is appropriate since drug co-pays are increasing July 1, 2004 pursuant to the collective bargaining agreement.

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