The Trustees adopted the following changes to our plan:
- Optum will now make available a preferred discount card that all members can use for medications not covered in the plan.
- When a drug manufacturer provides a coupon that refunds to the member some of the cost of a specialty drug, the coupon value will not be credited towards the members out of pocket maximum.
- Comprehensive Step Therapy Program for treatment of diabetes, asthma/COPD, and ADHD. This is all about getting the most effective medication for your money. Step therapy will group drugs in categories. Step 1 medications are typically generic drugs that have been proven safe, effective and affordable. These drugs should be tried first because they can often provide the same health benefit as more expensive drugs. More costly drugs can then be made available in Step 2 if necessary.
- Certain new or non-essential drugs that have not passed clinical review, or received FDA approval will not be included in the Plan’s coverage.
If you have questions about anything above, please don’t hesitate to contact us.