Limitations

• Duplicate claims cannot be honored.
• Prescriptions for allergies dispensed at a laboratory will be allowed only if the prescriptions would normally be filled at a licensed pharmacy.
• Claims for prescription drug co-payments can only be filed ONCE annually per family. Submit only after you have accumulated the annual maximum for co-payment costs. If you do not meet the maximum total prior to the end of the year, submit your claim for whatever the amount is below that figure after the last day of that calendar year. Any claim paid by the Fund will NOT be reconsidered at a later date, even if you discover that you failed to include several co-pays on your original claim.  Make sure that you have acquired all of the necessary pharmacy print-outs and primary prescription statements before making claim to the Fund.  It is your responsibility to ensure that your original claim contains all of your families’ co-payments.