C and O Employees' Hospital Association

 

 

ALL DIABETIC MEMBERS

Diabetic testing supplies are not covered through Informed Rx or CCS Medical.  Members are required to purchase their diabetic testing supplies through Neighborhood Diabetes.  Diabetic medications and needles are still covered at a network pharmacy or through Informed Rx's mail order facility.

Please call Neighborhood Diabetes at 1-866-784-5647 to order your diabetic testing supplies or to enroll today! 

MEDICARE MEMBERS

Drugs classified as Proton Pump Inhibitors (ulcer or gastric reflux drugs) such as Nexium, Aciphex, Prevacid, and Protoniz, etc. are classified as step therapy drugs.  A step therapy drug means you have to first try another drug to treat your medical condition before we will cover a stronger drug that condition.  If you are taking one of these proton pump inhibitors you MUST switch to Prilosec OTC.  Prilosec OTC has the same active ingredients as the other gastric reflux drugs.  We will cover the prescription for Prilosec OTC in full.  There will be NO cost to you.  You will need to have your physician write a prescription for Prilosec OTC, up to 40 mg per day.

 

IT MAY TAKE UP TO 5 MINUTES TO DOWNLOAD THE FORMULARY!

To download the Formulary click below: 

2010 Member Formulary v10_06302010.rtf

2010 Abridged Formulary Letter

2010 Abridged_Member_Formulary_V8_20091106.rtf

2010 PA Criteria 11/12/09.xls

2010 Quantity Limits 11/12/09.xls

2010 ST Criteria 11/12/09.xls

2010 B vs D PA Criteria 11/12/09.xls

Transition Policy and Procedures 4-16-10 v2