Active Health Summary Plan Description
As of September 1, 2017
En Español (PDF)

Article 8: Mandatory Generic Prescription Drug Plan

If you are eligible for health benefits provided by the Southern California IBEW-NECA Health Trust Fund (Anthem Blue Cross PPO Plan, Kaiser HMO, or UnitedHealthcare HMO), then you and your eligible dependents are entitled to prescription drug benefits, as described herein.

The Mandatory Generic Prescription Drug Plan is designed to help you meet the cost of prescription drugs prescribed by your doctor, for you or your eligible dependents, for the treatment of illness or injury.

You must use a generic drug substitute whenever it is available. If you or your doctor requests a brand-name drug instead of a generic equivalent, you will be charged the difference in cost between the brand-name drug and the generic, in addition to the co-payment applicable to the quantity and type of drug prescribed. The co-payments, which vary depending on the type of drug prescribed and the quantity dispensed, are detailed in this Article.

To fill your prescription, you can use any of the following:

  • Citizens Rx Walk-In Pharmacy Plan (contracted network of pharmacies)
  • Citizens Rx Mail Service Pharmacy Plan
  • The participant must contact the Administrative Office to request a direct member reimbursement form for purchasing prescriptions out of network.

Each Plan is described in greater detail in the following sections.

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