PRESCRIPTION BENEFIT Manufacturer Coupon Copay Program
Utilizing this Program • If you are filling a specialty drug or selected brand name medications that require manufacturer copay assistance, you will see an inflated copay starting 1/1/2025 • Capital Rx will be reaching out to assist you in enrolling in a manufacturer coupon that will bring that copay back down to $0.. • Capital RX communication will cease as of 1/1/2025 for new specialty prescriptions • To check if your prescription will require enrollment into this program (or if you are a new hire that is impacted): • Please reach out to Capital Rx at 855-227-7928 • Log into Paycom -> Benefits -> Benefits Forms and Links • Please visit the CommUnity HR page Applying for Manufacturer Copay Assistance is Quick and Easy Brand: 1. Capital Rx Care representative contacts member prior to their next fill to assist in enrolling for manufacturer coupon 2. Member fills out application form online and receives digital copay card in minutes 3. Member goes to pharmacy and sees an inflated copay for Brands (i.e. $600) – pharmacy provides message to member to enroll in copay card 4. Member uses their digital copay card to bring copay back down to $0. Specialty: 1. Optum Specialty representative will assist member in enrolling for manufacturer copay coupon (via phone) 2. Member fills out application form online and receives digital copay card in minutes 3. Optum Specialty representative uses digital copay card to bring copay to $0 4. Member will receive Specialty medication delivered to their home
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MEDICAL PLAN I
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