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By ordering your specialty medications through our dedicated specialty pharmacy, Accredo Health Group, Inc., you can receive toll-free access to specialty-trained pharmacists and nurses 24 hours a day, 7 days a week. Accredo offers therapy- specific teams that provide an enhanced level of personalized service to patients with special therapy needs. For more information or to order your specialty medications, please call Member Services at (800) 803-2523.

Non-Network Retail Pharmacy If you visit a non-network retail pharmacy, you are responsible for payment of the entire amount charged by the non-network retail pharmacy and will then need to submit a prescription drug claim to Medco for reimbursement consideration. These forms are available from Medco by calling the customer service number on the back of your identification card or by visiting www.medco.com. You must complete the form, attach an itemized receipt to the claim form, and submit to Medco. The itemized receipt must show:

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    name and address of the non-network retail pharmacy;

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      patient’s name;

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      prescription number;

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      date the prescription was filled;

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      NDC number (drug number)

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      name of the drug and strength

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      cost of the prescription;

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      quantity and days supply of each covered drug or refill dispensed.

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      Doctor name or ID number

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      DAW (dispense as written) code

You are responsible for the amount shown in the Schedule of Benefits. This is based on the Maximum Allowable Amount as determined by Medco’s normal or average contracted rate with network pharmacies on or near the date of service.

The Medco Pharmacy, Mail Service Through this service, you may receive up to a 90-day supply of many maintenance medications. Complete the order form and the Health, Allergy, & Medication Questionnaire the first time you order through this service. You may mail written prescriptions from your physician, or have your physician fax or send the prescription electronically to the Medco Pharmacy. You will need to submit the applicable deductible, coinsurance and/or copayment amounts to the Medco Pharmacy when you request a prescription or refill. Medications are shipped standard delivery at no additional cost. You can track your prescriptions and order refills at www.medco.com or by calling 1-877-841-5241. Registered pharmacists are available around the clock for consultation.

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