Page 18
Requesting Lower-Cost Generic Medications
Want to save money? You may ask the pharmacist
to substitute an exact generic medication for your
prescribed brand medication if a generic is available.
This is allowed if your doctor does not specify dispensing
only the brand-name medication, because pharmacies
must fill prescriptions exactly as written.
Generic drugs are less expensive than brand-name
medications because manufacturers don’t have to bear
the costs of developing and bringing a new drug to
market. Today, almost half of all prescriptions are filled
with generic drugs.
Using the Mail-Order Pharmacy
➤➤
To use the mail-order service, ask your doctor to
write a prescription for a 90-day supply (with any
appropriate refills). Mail the prescription to CVS/
Caremark with a completed order form available at
➤➤
Need a prescription filled right away? Ask your
doctor to write two prescriptions for your long-term
medicines: the first for a short-term supply to be filled
quickly at a retail pharmacy, and the second for the
maximum 90-day mail-order supply with any appro-
priate refills.
➤➤
Mail-Order Conveniences
• Extended supply of medicine.
• Lower cost compared to multiple retail refills.
• Delivered where you want; home, local phar-
macy or even vacation address.
Prior Authorization for Specific Drugs
and Medical Conditions
Your doctor must receive prior authorization from CVS/
Caremark when prescribing certain covered drugs
approved by the Food and Drug Administration for
specific medical conditions. The approval criteria are
based on information from the FDA and manufacturers,
medical literature, actively practicing consultant physi-
cians and appropriate external organizations. Approval
of a prescription is good for one year, after which your
doctor may submit a new approval request.
Specialty Rx Program
Some chronic or genetic conditions require injected or
infused medicines, and sometimes oral bio-chemical
medications. CVS/Caremark provides such products—as
well as special patient support—directly to plan partic-
ipants through its Specialty Rx Program. Specialty Rx
prescriptions are not filled at retail pharmacies. For
coverage on these products, you must be pre-approved
by and participate in the Specialty Rx Program.
For a comprehensive list of specialty prescription drugs,
go to
If you or an enrolled family member is being treated for
any of the following conditions, call CVS/Caremark at
866-818-6911 to find out if a prescription from your
doctor requires prior authorization through the Specialty
Rx Program.
➤➤
Alzheimer’s
➤➤
Amphetamines for ADD or ADHD (over age 18 only)
➤➤
Growth hormone deficiency (Step therapy and use of
preferred brand for growth hormones is required)
➤➤
Hemophilia
➤➤
Hepatitis C
➤➤
Multiple sclerosis
For More Information About:
➤➤
The Aflac Health Plan: Visit
or call
888-893-6366.
➤➤
Prescription drug coverage: Visit
or call 866-818-6911.
➤➤
A
ll of your Aflac benefits: Go to
Health and Wellness Plans
Prescription Drug Benefits
