You may have questions about the new changes to your prescription drug plan. This fact sheet is designed to answer most of your questions.

1. How is my prescription drug plan changing?
2. What is the difference between long-term and short-term drugs?
3. What is the difference between single source and multi-source brand drugs?
4. What is my co-payment on a Multi Source Brand Prescription if my physician writes Dispensed As Written (DAW)?
5. What is the Medco Health Home Delivery Pharmacy Service?
6. What if I have a new long-term drug prescription that needs to be filled for the first time?
7. What if I have an existing maintenance prescription that I have been filling at the retail pharmacy?
8. What if I am already using the mail service for my long-term prescriptions?
9. How do I request additional order envelopes?
10. How long does it take to get my drugs when I use the Medco Health Home Delivery Pharmacy Service?
11. What if I need to speak with a pharmacist?
12. Can I still use my retail pharmacy?
13. Will I pay for shipping when I use the Medco Health Home Delivery Pharmacy Service?
14. Do I get the same drugs that I get at the drugstore?
15. What about drug interactions?
16. Will I receive information about drug interactions with my drugs?
17. How can I get more information?

1. How is my prescription drug plan changing?
After the second time you purchase each long-term drug at a retail network pharmacy, beginning January 1, 2003, your co-payment will increase as listed below:

But if you choose to use the mail service pharmacy program for your long-term drugs, such as those used to treat high blood pressure or high cholesterol, you will receive up to a 90-day supply for the same co-payment as the 2nd refill and beyond through the retail pharmacy.

Note: You will continue to pay $5/20/25 co-payment for short-term drugs, such as antibiotics, at a retail network pharmacy.

2. What is the difference between long-term and short-term drugs?
Long-term drugs are those you take on an ongoing basis for conditions such as high blood pressure or high cholesterol. Short-term drugs include antibiotics and other drugs that you take on a short-term basis.

3. What is the difference between single source and multi-source brand drugs?
Single source brand are drugs that do not have a generic equivalent available. Multi-source brand are drugs that do have a generic equivalent available. You can find out if your brand drug is a single source or multi-source by calling Medco Health at (800) 711-0917 or visiting Medco Health?s website at www.medcohealth.com.

4. What is my co-payment on a Multi Source Brand Prescription if my physician writes Dispensed As Written (DAW)?
When a Physician prescribes a Brand Name Drug and indicates DAW on the prescription form, you will only be responsible for the Multi Source Brand co-payment outlined in question #1. But when your Physician does not indicate (DAW) on the prescription form, if a generic drug is available and you choose to receive the Brand Name Drug Prescription. In addition to the Multi Source co-payment, you will also pay the difference between the cost of the generic and the Brand Name Prescription cost.

5. What is the Medco Health Home Delivery Pharmacy Service?
Our Home Delivery Pharmacy Service is a prescription delivery service offered through the CAHP Health Benefits Trust (CAHP-HBT) plan. The Home Delivery Pharmacy Service offers convenience and cost savings on drugs you take on a long-term basis. The Home Delivery Pharmacy Service follows strict quality and safety controls for every prescription filled. Our pharmacies are staffed with registered pharmacists.

6. What if I have a new long-term drug prescription that needs to be filled for the first time?
You will need to ask your physician to write two prescriptions to start you off ? a 30-day prescription to take to the retail pharmacy and a 90-day prescription to send in to the mail order pharmacy. That way you can start taking the medication immediately and will not have to wait until you receive your 90-day prescription in the mail.

7. What if I have an existing maintenance prescription that I have been filling at the retail pharmacy?
You will need to ask your physician to write you a new prescription for up to 90 days for the Medco Health mail order pharmacy?s use. That prescription can be mailed directly to Medco Health using a special mail order envelope provided by us. Note: This procedure is necessary because by law, retail pharmacies cannot supply the mail service pharmacy with an existing prescription; the new pharmacy must receive a new prescription written by your physician.

8. What if I am already using the mail service for my long-term prescriptions?
You should continue to do so just as you have in the past.

9. How do I request additional order envelopes?
You can request extra order forms and envelopes online, anytime, at www.medcohealth.com. If you are a first-time visitor to the site, you will need to register. You can also call (800) 711-0917 toll-free and use our interactive phone system. Please be sure you have your member ID handy before you call. Listen carefully to the various options and choose the appropriate response, or you can say or press 4 for forms and envelopes.

10. How long does it take to get my drugs when I use the Medco Health Home Delivery Pharmacy Service?
First-time orders you mail in will arrive within 7 to 11 days. If your doctor faxes your prescription, you will receive your drugs within 5 to 8 days.

11. What if I need to speak with a pharmacist? Just call toll-free at (800) 711-0917. Our experienced, registered pharmacists are available to talk to you 24 hours a day, 7 days a week.

12. Can I still use my retail pharmacy?
Yes. For drugs that you take on a short-term basis, like antibiotics, you can use your retail network pharmacy, and you will only pay $5/20/25 co-payment. If you prefer, you can continue to receive long-term drugs from your retail network pharmacy. But you will pay the $10/40/50 co-payment after the second time you purchase each long-term drug at a retail network pharmacy after January 1, 2003.

13. Will I pay for shipping when I use the Medco Health Home Delivery Pharmacy Service?
No, there is no charge to you for standard shipping. You pay only your Home Delivery Pharmacy Service co-payment on the drugs you order.

14. Do I get the same drugs that I get at the drugstore?
Yes. Whether you use single source, multi-source or generic drugs, you can expect the same quality drugs from the Home Delivery Pharmacy Service as those you currently use.

15. What about drug interactions?
The drugs you get through our Home Delivery Pharmacy Service, as well as those purchased from a retail network pharmacy, are checked for potential drug interactions. If we ever have a question about your prescription, one of our pharmacists will contact your doctor prior to dispensing the drug. If your doctor decides to change the prescription, we will send a notification letter to you and your doctor.

16. Will I receive information about drug interactions with my drugs?
Yes. Customized, detailed information about possible drug interactions is enclosed in your first prescription through the Medco Health Home Delivery Pharmacy Service. Refills will not have this information.

17. How can I get more information?
You can find additional useful information online, anytime, at www.medcohealth.com. (First-time visitors to the site will need to register.) Our Medco Health Member Services Representatives are also ready to answer your questions at (800) 711-0917.