We are proudly partnered with CVS Caremark. The SilverScript Employer PDP sponsored by the Midwest Operating Engineers (SilverScript) is a Medicare Part D prescription drug plan.
The Fund Office also has a Pharmacy Benefit Department that works as a liaison between the membership and CVS Caremark.
The Retiree Welfare Plan Prescription Drug Program provides eligible retired members of Local 150, and their eligible dependents who are eligible for Medicare, benefits through the SilverScript, a Medicare Part D prescription drug plan.
With SilverScript you can:
- Fill your medication for a 30 or 90-day supply
- Always fill your medication at any in-network pharmacy (you are not required to fill maintenance medications at CVS)
The Plan allows you to fill a 30-day supply or 90-day supply of medication at any SilverScript network pharmacy or the CVS Caremark Mail Service Pharmacy. Be sure to present your SilverScript MedicareRx ID card at your network pharmacy so your prescriptions are accurately billed.
To find a list of network pharmacies, you can visit the CVS Caremark website at caremark.com and use the “Pharmacy Locator”. You can also call SilverScript Customer Service at 833-252-6641 for help or to request a copy of the list to be mailed to you.
The copay structure is outlined in the chart below.
Yes! The SilverScript Digital Formulary is linked at top of page. This is a guide within select therapeutic categories for Plan members and health care providers. Ask your physician to consider prescribing generic medication as a first line option, when medically appropriate. Generic medications are typically a lower cost to the plan, and these savings are immediately passed directly to the membership. If there is no generic available, there may be a preferred brand name medication listed.
If your prescription is rejecting due to a PA required, the pharmacy should reach out to your physician. In the event that your physician does not receive this information from the pharmacy, or you would like to expedite the PA process, we recommend that you follow up with your physician’s office.
Your physician can initiate a PA by the following:
- Electronic (ePA) – preferred
OR
-
- SureScripts: https://sso.surescripts.net/account/login
- By Phone –
- CVS Caremark by calling 1-855-344-0930
All PA’s are reviewed by clinicians at CVS Caremark, not the Pharmacy Benefit Department at the Fund Office.
If you would like to check on the status of your PA, contact SilverScript Customer Service at 833-252-6641.
There are certain scenarios in which a coverage determination request can or should be submitted by you or your provider to be reviewed by SilverScipt.
Specialty medications require a prior authorization before they can be filled. To determine if your specialty/high-cost medication is covered, contact SilverScript Customer Service at 833-252-6641 or refer to the SilverScript Digital Formulary is linked at top of page.
You can fill your specialty/high-cost medication at any in-network specialty pharmacy. If you need assistance locating an in-network specialty pharmacy, contact SilverScript Customer Service at 833-252-6641.
Yes, but certain requirements have to be met for it to be covered by SilverScript. For more information, contact SilverScript Customer Service at 833-252-6641.
Yes. To determine if your vaccine is covered, refer to the SilverScript Digital Formulary linked at top of page. For more information, contact SilverScript Customer Service at 833-252-6641.