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We have some good news for Active Employees and Retirees under 65 (non-Medicare) about the drug benefits provided by the PSC-CUNY Welfare Fund and the NYC Health Benefits Program. Effective July 1st, 2018 the GHI-CBP and HIP HMO plans will cover the low-dose generic statins listed below at no copay for any eligible members between 40 and 75 years of age. GHI-CBP and HIP HMO participants will no longer use their CVS prescription cards for these medications but will provide their Emblem Health cards at the pharmacy.
The American College of Cardiology, the American Heart Association and the United States Preventive Services Task Force recommend statins for primary prevention in people aged 40 to 75 who have risk factors like high cholesterol, diabetes, high blood pressure or smoking. For people over age 75, research panels have not found sufficient evidence to make a recommendation. As always, you should consult your personal physician about the medications appropriate for you.
As of July 1, the low-dose statin medications you have been purchasing with your Welfare Fund CVS Caremark card at a 20% co-pay will be available, free of charge, by presenting your GHI-CBP or HIP HMO card along with your doctor’s prescription.
Emblem Health has announced that, beginning Oct. 1, you will be required to fill prescriptions for maintenance medications by ordering a 3-month supply at a participating Walgreens pharmacy or by mail order from Express Scripts. Otherwise members will be charged full cost.
To find a Walgreens pharmacy that participates in filling 3-month supplies, register at express-scripts.com/90day after Oct. 1. Select Prescriptions and choose Find A Pharmacy. The pharmacy can tell you how to transfer your prescriptions or start a new one.
To have diabetic medications, ACA-covered preventive medications (including contraceptives), and low-dose generic statins delivered to your home by mail-order, call Express Scripts, 866-890-1419, or register at express-scripts.com/90day. They will contact your doctor to get your new prescription.
You will no longer be able to use the Welfare Fund CVS Caremark card for the drugs listed below. We understand that the switch in coverage for certain prescriptions may be cause for confusion, at first, but we believe the savings you will experience will outweigh any initial inconvenience.
Questions? HIP HMO members call 800-447-8255 (TTY: 711) from 8 a.m. to 6 p.m., Monday to Friday. GHI-CBP members can call 800-624-2414 (TTY: 711). Customer Service representatives will be happy to help.
Low-dose Statin Drugs Covered by GHI-CBP and HIP HMO
ATORVASTATIN 10 MG TABLET
ATORVASTATIN 20 MG TABLET
FLUVASTATIN ER 20 MG TABLET
FLUVASTATIN SODIUM 40 MG CAP
FLUVASTATIN SODIUM 80 MG CAP
LOVASTATIN 10 MG TABLET
LOVASTATIN 20 MG TABLET
LOVASTATIN 40 MG TABLET
PRAVASTATIN SODIUM 10 MG TAB
PRAVASTATIN SODIUM 20 MG TAB
PRAVASTATIN SODIUM 40 MG TAB
PRAVASTATIN SODIUM 80 MG TAB
ROSUVASTATIN CALCIUM 5 MG TAB
ROSUVASTATIN CALCIUM 10 MG TAB
SIMVASTATIN 5 MG TABLET
SIMVASTATIN 10 MG TABLET
SIMVASTATIN 20 MG TABLET
SIMVASTATIN 40 MG TABLET
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