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This website contains information only for the prescription drug program for the membership of:
Central Pennsylvania Teamsters Health and Welfare Fund
This prescription drug program is adjudicated by General Prescription Programs, Inc.
If the member wishes to contact General Prescription Programs, Inc. for any reason, the telephone number is (800) 314 – 2234.
Federal and State restricted drugs, including insulin are covered under the program, however, certain drugs are not covered, such as fertility drugs, drugs for cosmetic use, impotence drugs, growth hormones, and smoking deterrents (only maximum of six month supply for lifetime).
Prescriptions at retail are limited to a maximum of a thirty days supply. Mail order is limited to a maximum of a three months supply.
The copayments are as follows:
| Group Number |
Type of Drug |
Retail Copayment |
Mail Order Copayment |
| 93211300 |
Generic |
$5.00 |
$15.00 |
| 93211300 |
Brand Name |
$15.00 |
$30.00 |
| 93211300 |
Brand Name Injectables |
$30.00 |
$60.00 |
| 93211300 |
Certain expensive brand name drugs (see list) |
$30.00 |
$60.00 |
|
| Group Number |
Type of Drug |
Retail Copayment |
Mail Order Copayment |
| 93211400 |
Generic |
$5.00 |
$15.00 |
| 93211400 |
Brand Name |
$15.00 |
$30.00 |
| 93211400 |
Brand Name Injectables |
$30.00 |
$60.00 |
| 93211400 |
Certain expensive brand name drugs (see list) |
$30.00 |
$60.00 |
|
| Group Number |
Type of Drug |
Retail Copayment |
Mail Order Copayment |
| 93211500 |
Generic |
$5.00 |
$15.00 |
| 93211500 |
Brand Name |
$15.00 |
$30.00 |
| 93211500 |
Brand Name Injectables |
$30.00 |
$60.00 |
| 93211500 |
Certain expensive brand name drugs (see list) |
$30.00 |
$60.00 |
|
| Group Number |
Type of Drug |
Retail Copayment |
|
| 93212020 |
Generic |
$5.00 |
|
| 93212020 |
Brand Name |
$15.00 |
|
| 93212020 |
Brand Name Injectables |
$30.00 |
|
| 93212020 |
Certain expensive brand name drugs (see list) |
$30.00 |
|
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| Group Number |
Type of Drug |
Retail Copayment |
Mail Order Copayment |
| 93212040 |
Generic |
$5.00 |
$15.00 |
| 93212040 |
Brand Name |
$15.00 |
$30.00 |
| 93212040 |
Brand Name Injectables |
$30.00 |
$60.00 |
| 93212040 |
Certain expensive brand name drugs (see list) |
$30.00 |
$60.00 |
|
| Group Number |
Type of Drug |
Retail Copayment |
Mail Order Copayment |
| 93212050 |
Generic |
$5.00 |
$15.00 |
| 93212050 |
Brand Name |
$15.00 |
$30.00 |
| 93212050 |
Brand Name Injectables |
$30.00 |
$60.00 |
| 93212050 |
Certain expensive brand name drugs (see list) |
$30.00 |
$60.00 |
|
| Group Number |
Type of Drug |
Retail Copayment |
Mail Order Copayment |
| 93211310 |
Generic |
$10.00 |
$30.00 |
| 93211310 |
Brand Name |
$20.00 |
$40.00 |
| 93211310 |
Brand Name Injectables |
$40.00 |
$80.00 |
| 93211310 |
Certain expensive brand name drugs (see list) |
$40.00 |
$80.00 |
|
| Group Number |
Type of Drug |
Retail Copayment |
Mail Order Copayment |
| 93211410 |
Generic |
$10.00 |
$30.00 |
| 93211410 |
Brand Name |
$30.00 |
$60.00 |
| 93211410 |
Brand Name Injectables |
$50.00 |
$100.00 |
| 93211410 |
Certain expensive brand name drugs (see list) |
$50.00 |
$100.00 |
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