Prescription Drugs
Retail: EnVisionRx Options
www.envisionrx.com
800-361-4542
Mail Order: Orchard Pharmaceutical Services
www.orchardrx.com
866-909-5170
Specialty Services: Costco
866-443-0060
Prescription Drug Benefit Summary
Direct Member Reimbursement Form
Mandatory Generic Policy
If the member or the physician wishes to use a brand name drug when a US Food and Drug Administration determined therapeutically equivalent (“AA” or “AB” rated) generic is available, the member will pay the difference in the brand name and generic medication price, plus the generic co-payment. Members may still elect to use brand name medications if they choose, but they will be required to pay the difference in the brand name and generic medication price, plus the generic co-payment