Money-Saving Opportunities

• Zyrtec® OTC covered at $10 copay level
• Zyrtec® OTC Pharmacy Communication
• Zyrtec® OTC Physician Communication
• Split the Pill, Split your Bill - Tablet-splitting program
• Coverage Change to Proton Pump Inhibitor Class Meds
• Choice90 - external link, click on Choice90 graphic
• Bioscrip Mail Order- external link

Formulary Guide

2010 Formulary Guide

Pharmacy Benefit Manager Portal

MedImpact administers the prescription drug benefits for members.

For questions regarding your prescription drug benefits, please conact MedImpact toll-free at (800) 788-2949 or visit their member web site.

Pharmacy Newsletter

Forms

• Pharmacy Reimbursement Claim Form
• Medication Request Form

Prior Authorizations or Step Therapy Requirements

• Medications requiring Prior Authorization
• Medications requiring Step Therapy

Consumer Resources*

Information about Generic Drugs from the Food and Drug Administration

Hechos Sobre Los Medicamentos Genéricos

Reports and information to guide consumers and doctors in making more cost-effective prescription alternatives.

*The above consumer links are posted as a resource for our members in making wise prescription drug choices. The web sites are not affiliated with FirstCarolinaCare Insurance Company.

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