You and your covered dependents automatically
receive prescription benefits under the SEG Choice medical
plan. You pay negotiated prescription costs
in full until your deductible is met, and the amount
you pay for prescriptions counts toward meeting your deductible.
1 Specific generic medications
included can change from time to time without notice. 2 Caremark is an independent company providing specialty
pharmacy services and prescription drug benefits on behalf of
Step Therapy is a prior-authorization program that encourages
the use of cost-effective, therapeutically appropriate medications
before other, more costly prescription medication options are
Call the Employee Resource Center
Talk to your physician or call the SEG Pharmacy at (803) 217-9173 or 1-866-769-9039. You may email the pharmacy at email@example.com. You can check online at Caremark Drug Coverage and Cost.
For certain medications or doses your doctor may need to contact Caremark to approve coverage of your prescription under the pharmacy plan. These medications require prior authorization to help ensure they are prescribed appropriately for specific conditions and often to encourage members to try effective, less costly alternatives first.
You or your doctor can check the Caremark Drug Coverage and Cost. Drugs that require prior authorization have a (PA) label next to the drug brand name. Certain medications used to treat heartburn, ulcers, pain, inflammation, certain cardiovascular conditions and many specialty medications require prior authorization. Covered self-injectable drugs available at the SEG Pharmacy include medications that treat diabetes, migraine headaches, anaphylactic reactions, vitamin deficiencies, and certain blood clotting disorders.