Zoe Pediatrics - 2024 Benefits Guide

3 Prescription Coverage Overview

VeracityRx ____________________ ___________________________________________________________________ Here’s a few ways our Pharmacy program strives to save members money. Go Generic and Save • When you choose the generic prescription versus the brand name Rx, you can save on your member cost/copay. For example, if your physician prescribes the name brand “Norvasc” to manage your blood pressure, choose the generic form amlodipine and save yourself and the plan money. Avoid High-Cost Pharmacies • Effective August 1, 2024, the following pharmacies are considered Non-Select : CVS, Target, Walgreens, and Rite- Aid. Please note that Non-Select pharmacies have a higher copay. o Select Pharmacies: All independent pharmacies and grocery stores are considered select.

Get your 90-day prescription filled right at your favorite select pharmacy • You can elect to get a 90-day fill using your local select pharmacy. Please note that a 90-day fill is not available at non-select pharmacies.

Specialty Pharmacy Services • Specialty Medications

o For more information on specialty drugs, please go to www.veracity-rx.com and complete the “Enrollment Form” . Once completed, a VeracityRx Specialty team member will be in touch. See page 3 for additional details and a list of commonly prescribed Specialty Medications. • Personal Importation Medications o Medications that can be obtained internationally (from Canada) can also be acquired through VeracityRx Pharmacy Services. When the medications are obtained this way, the cost to you is $0 Copay . If you choose not to participate, you will be responsible for 50% of the cost of the medication at your local pharmacy. See page 4 for additional details and a list of commonly prescribed Personal Importation Medications.

Note: Some drugs require a pre-authorization. Even if you have obtained a pre-authorization with the current plan, you may have to obtain an updated one for the new plan.

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8 | Zoe Pediatrics 2024 Benefits Guide

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