Beginning Jan. 1, 2020, OptumRx will be your new pharmacy benefit manager, replacing CVS/ Caremark. Changes to your benefit plan include a new Maintenance Medication mail order/home delivery program provided by the CHI St. Vincent Employee Pharmacy.
What you need to know about the Maintenance Medication Program:
- Beginning January 1, 2020, all coworkers enrolled in the CHI Medical Plan will be required to use the CHI St. Vincent Employee Pharmacy for maintenance prescriptions.
- The Employee Pharmacy located at the Infirmary will also serve as the mail order pharmacy for St. Vincent employees. OptumRx mail order will not be an option.
- Benefits include the following: prescriptions delivered right to your home, up to 50% discount on copays, free standard shipping and the ability to order refills 24/7 online or via smart phone mobile app.
- To help with the transition, prescriptions for maintenance medications can be filled up to three times at a retail pharmacy; however after the third fill, the prescription must be transferred to the Employee Pharmacy or it will no longer be covered under your benefit plan and you will be required to pay cash.
Your action is needed:
- Set up your account information early to avoid any delays in prescription delivery. Please contact the Employee Pharmacy at (501) 552-4880 so we can collect some quick and easy information to begin processing mail-order prescriptions for you and your family.
- Any current mail order prescriptions with remaining refills at CVS Caremark will not automatically transfer to the Employee Pharmacy. Please contact your doctor’s office and request new 90-day prescriptions for all of your maintenance medications to be sent to the Employee Pharmacy located at St. Vincent Infirmary.
- Make sure you have enough medication to last for one month to ensure a smooth transition of your maintenance medications.
Prescription payment processing:
- You will need to provide your payment information to the Employee Pharmacy before your first mail order.
- The Employee Pharmacy will securely store a credit/debit card of your choice to use for payment.
- You may also store your HSA/FSA card information, however, please note that if you choose to provide HSA/FSA information, you will also be required to provide a credit/debit card as a secondary form of payment in the event that funds are unavailable from your HSA/FSA account.
Refilling your prescriptions:
- Please note that you MUST initiate all refill requests; refills will not be generated automatically.
- When requesting a refill, be sure to select a current prescription number with refills remaining.
- You can submit refill requests by telephone, online or via
your smart phone. You can also view your prescription profile and the status of
medications online, as well as receive email reminders for refills.
- To set up an online account, visit www.RefillRx.com
and click register.
- Locate our pharmacy listed as “St. Vincent Employee Pharmacy” at zip code 72205
- Enter your information (requires a matching address and prescription number)
- Create a username and password
- Click view/refill your prescriptions
- To set up a mobile account, go to the App store and
download the RefillRx Mobile app
- Click on the RefillRx Mobile icon and select scan barcode
- Align your Rx barcode inside the box; it will automatically snap a picture and submit a request for refill.
- To set up an online account, visit www.RefillRx.com and click register.
|Short-Term Medication||Maintenance Medication||Specialty Medication|
|Short-term drugs are those you take for a specific period of time to treat an illness (usually 30 days or less).||Maintenance drugs are prescribed for conditions that are chronic or long term. These medications usually require regular, daily use for longer periods of time.||Specialty drugs are high-cost drugs that often require special handling.|
|Examples: antibiotics, pain meds||Examples: meds for high blood pressure, cholesterol, diabetes, etc||Examples: meds for multiple sclerosis, rheumatoid arthritis, etc|
|Where to fill: St. Vincent Employee Pharmacy or OptumRx Retail Pharmacy Network*||Where to fill: St. Vincent Employee Pharmacy (offering new mail-order services)||Where to fill: St. Vincent Employee Pharmacy|
|As a general rule, short-term prescriptions are usually written with no more than two refills. Any prescription written with more than two refills would be considered a maintenance medication.||Maintenance meds require a 90-day fill. However, you may fill a 30-day supply of a new maintenance medication prescription through a network retail pharmacy up to three times before you are required to use the St. Vincent Employee Pharmacy. After three 30-day fills, your prescription will not be covered unless you use the St. Vincent Employee Pharmacy.||There may be situations where the Employee Pharmacy cannot fill your specialty medication. If that occurs, the Employee Pharmacy will route your prescription to the OptumRx Specialty Pharmacy.|
* The OptumRx Retail Pharmacy Network includes more than 68,000 participating pharmacies nationwide, including national pharmacy chains such as Walgreens, Target, and Walmart, and independent community pharmacies.
Contact Us: Employee Pharmacy, 2 St. Vincent Circle, Little Rock, AR 72205
Click here to visit the Insider to learn more about maintenance medications and other Employee Pharmacy services.