Prescription Drug Benefit Summary For
TEXAS AGRICULTURAL
COOPERATIVE TRUST

Script Care Network of Pharmacies

Click Here To Download The Mail Order Form

Script Care,Ltd. is a third party administrator representing pharmacies located throughout the United States. Your Script Care prescription drug program offers you a convenient way to fill prescriptions at your local pharmacy or through a mail order. Pharmacies participating in the Script Care system have been chosen because of their commitment to provide you with quality, cost effective pharmaceutical services with a personal touch. When you use these network pharmacies, your out-of-pocket expenses can be reduced.
And that means you save money!

WHO IS ELIGIBLE?

You and your dependents that are covered by your employer's group health benefit plan may be eligible to use the Script Care prescription drug program. Eligibility depends upon you and your employer.

WHAT IS COVERED?

Prescription Drugs covered by your employer group health benefit plan are covered under your Script Care prescription drug program. Some of the general categories of covered prescriptions are listed below.

Legend drugs
(drugs that require a prescription to obtain).
Compound prescriptions.
Insulin and insulin syringes/needles.
Diabetic supplies.
Oral contraceptives.
Prenatal vitamins.
Injectable contraceptives.
Vitamins with flouride.

ITEMS COVERED WITH QUANTITY LIMITATIONS:

Amerge-9 tablets per 30 day supply
Axert- 12 tablets per 30 day supply
Copegus-168 tablets per 28 day supply
Frova-9 tablets per 30 day supply
Imitrex Injection-3 kits per 30 day supply
Imitrex tablets-18 tablets per 30 day supply
Imitrex Nasal spray-1box per 30 day supply
Maxalt,Maxalt MXT- 18 tablets per 30 day supply
Migranal Nasal Spray-1 box per 30 day supply
Relpax-6 tablets per 30 day supply
Stadol Nasal Spray- 2 bottles per 30 day supply
Zomig, Zomig ZMT-6 tablets per 30 day supply
Zomig Nasal Spray-1 box per 30 day supply

WHAT IS NOT COVERED :

Not all prescription medication is covered
under your benefit plan.
Listed below are general categories of medications that are not covered by your benefit plan.

Over-The-Counter (OTC) drugs
Non Insulin syringes/needles
Immunological vaccines (biological serums)
Diet control drugs (Anorexics)
Medical Devices/supplies
Fertility agents
Erectile dysfunction/organic impotence drugs
Diagnostic agents (test kits)
Contraceptive devices
Oral smoking deterrents
Hair growth stimulants
Cosmetic agents for anyone 26 years of age and older
Growth hormones
Vitamins, other than those listed
RU486 (mifepristone)
Oxycontin
Accutane,no exceptions
Non-drug items, such as stockings or devices, even if a prescription is required.
Experimental drugs or drugs required to be labels: “Caution-Limited by Federal Law
to investigation use.”
Refills obtained more than one year after the original prescription date or prior to 75% of the completion of the projected usage.

WHAT ARE GENERIC DRUGS?

The generic name of a drug is its chemical name. The brand name is the trade name under which the drug is advertised and sold by different pharmaceutical companies. By law, generic and brand names must meet the same standards for safety, purity, strength, and effectiveness. When your physician prescribes generically or authorizes generic substitution, your Script care network pharmacy will dispense a generic drug equivalent when one is available and permissible under the law. Generic drugs are almost always less expensive than brand name drugs. You can help your benefit plan save money by asking your doctor to prescribe generic drugs whenever possible.

HOW DOES THE SCRIPT CARE PROGRAM WORK?

When you physician issues you a prescription, simply present the prescription along with your Script Car identification card to one of the Script Care network pharmacies in your area or complete a mail order form. You will pay a copayment based on your plan and type of medication you receive.

Please refer to the Summary Plan Document provided by your employer for prescription drug copay information.

For Formulary assistance, please logon to www.scriptcare.com for a Formulary search.

For Formulary updates made during the year, please refer to www.scriptcare.com for current information.

HOW MUCH MEDICATION CAN I RECEIVE?

Your physician's orders may limit the amount of medication that can dispenses at one time. In any case, the maximum quantity that your benefit plan allows is as follows:

Retail Pharmacies: 30 day supply or 100 unit dose
Mail order pharmacy: 90 day supply per 300 unit dose
SCL Specialty Pharmacy 30 day supply ( Mandatory: Members must use SCL Pharmacy for drugs on Specialty Drug list.)
SCL Diabetic Program 90 day supply ( Mandatory after 1st retail fill: Members must use NDP to fill diabetic items.)

WHAT MEMBER SERVICES ARE AVAILABLE ON THE SCRIPT CARE WEBSITE?

At www.scriptcare.com , Script Care members can login to access Mail Order Prescriptions and Specialty Pharmacy Medications, if available on the Rx benefits. Members also have access to the Prescription Price & Copay calculator to verify specific prescription costs and plan copayments. A search engine is also available for Participating and Formulary Drugs.

CAN MY CURRENT PHARMACY BECOME A SCRIPT CARE PROVIDER?

If you currently have your prescriptions filled at a non-network pharmacy, have your pharmacist call the script care office for an application to become a Script Care pharmacy provider. It is important to remember that not all pharmacies can meet the qualifications to become a Script care provider.

HOW DO I CHANGE MY PRESCRIPTIONS TO A SCRIPT CARE NETWORK PHARMACY?

If your prescriptions are at a non-network pharmacy, you can either have your physician write or call in new prescriptions, or simply take your old prescription bottles to a Script Care network pharmacy of your choice. The pharmacist will handle it from there. Be sure to present your Script Care identification card.

WHAT ARE THE ADVANTAGES FOR ME TO USE THE SCRIPT CARE PRESCRIPTION DRUG PROGRAM?

IMMEDIATE SAVINGS, YOUR OUT-OF-POCKET EXPENSE WILL NEVER BE MORE THAN YOUR COPAYMENT AMOUNT.

No claim forms to file
No waiting for reimbursement.
Access to local pharmacists to counsel you about your prescriptions.
Your prescription drug program is designed to help you and your employer become more efficient without decreasing service to you.

WHO SHOULD I CALL IF I HAVE QUESTIONS ABOUT THE SCRIPT CARE PRESCRIPTION DRUG PROGRAM?

Contact our customer service department during the following business hours at
1-800-880-9988 or 1-409-832-3041
or you can email your questions to customerservice@scriptcare.com :
Monday – Friday 8:00 am – 9:00 pm Central Standard time
Saturday 9:00am-6:00pm Central Standard Time

Script Care, Ltd.
6380 Folsom Drive.
Beaumont, Texas 77706
PHONE 1-409-832-3041
TOLL FREE 1-800-880-9988
FAX 1-409-832-3109

www.scriptcare.com

Click Here To Download The Mail Order Form