Exclusions

  1. OTC (over the counter) drugs, vitamins, diet supplements, etc., which even if prescribed by a physician can be legally purchased without a prescription.
  2. Drugs covered by this plan must be prescribed by a licensed medical doctor, osteopathic physician or dentist
  3. All drugs must be dispensed by a registered pharmacy.
  4. Drugs which are administered to in-patients of any hospital are not eligible.
  5. Single prescriptions that exceed a 3-month supply (this does apply to refills obtained at a later date).
  6. Growth stimulating drugs, food supplements, cosmetic drugs, or any other drug prescribed for conditions other than injury, illness or disease are not covered by the plan.
  7. Expenses not submitted prior to December 31st of the current year for the previous year will not be eligible for reimbursement. Example: Claims for 2013 may be claimed only up to 12/31/2014

Note: The Fund will not pay prescription costs incurred by members in excess of the co-payment maximum. If you use a pharmacy that does not participate with your primary prescription carrier, you will be required to pay the full cost of the prescription to the pharmacy. To receive your benefit, submit a completed reimbursement form to your medical plan. The Fund will only pay the co-payment amount that the plan would have paid if you used a participating pharmacy.