Your prescription drug benefit is administered by Southern Scripts. Southern Scripts has a national network of retail and independent pharmacies where you can fill your prescriptions. The following information is an overview of The Langdale Company prescription drug benefit being administered by Southern Scripts.
Your prescription drug benefit features a formulary drug list. A formulary is a list of preferred medications organized into groups or "Tiers". For a full formulary listing please visit http://southernscripts.net/members.php. Please note: Not all drugs listed in the formulary are covered under your Plan.
To access the Pharmacy Locator, please visit http://southernscripts.net/members.php and go to “Find a Pharmacy.” Your Bin# is 015433, and the Group# is 0002.
Please note The Langdale Company has a Generic Mandatory Drug plan. If you purchase a brand name medication that has a generic equivalent available, a penalty will be added to your applicable brand co-payment. This penalty is the difference in price between the brand name medication and its available generic.
Your benefit plan may have certain restrictions regarding refills. Please refer to the SPD provided by your plan or contact TLC Benefit Solutions Inc. at (229) 249-0940 or (877) 949-0940. You may also call Southern Scripts Customer Service Help Desk at 1-800-710-9341 or via e-mail at support@southernscripts.net.
| Pharmacy Benefits | |||
|---|---|---|---|
| Preferred Network 34 Day Supply | Non-Preferred Network 34 Day Supply | ||
| Co-payment | Co-payment | ||
| Tier 1 - Generics | $15 | Tier 1 - Generics | $25 |
| Tier 2 - Preferred Brands (Formulary Brands) | $40 or 20% (Greater Amount) | Tier 2 - Preferred Brands (Formulary Brands) | $50 or 20% (Greater Amount) |
| Tier 3 - Non-Preferred Brands (Non Formulary Brands) | $75 or 30% (Greater Amount) | Tier 3 - Non-Preferred Brands (Non Formulary Brands) | $90 or 30% (Greater Amount) |
| Specialty Drugs | $250 or 20% (Lesser Amount) | Specialty Drugs | Not Covered |
| Preferred Network 90 Day Supply | Non-Preferred Network 90 Day Supply | ||
| Co-payment | Co-payment | ||
| Tier 1 - Generics | $45 | Tier 1 - Generics | Not Covered |
| Tier 2 - Preferred Brands (Formulary Brands) | $120 or 20% (Greater Amount) | Tier 2 - Preferred Brands (Formulary Brands) | Not Covered |
| Tier 3 - Non-Preferred Brands (Non Formulary Brands) | $225 or 30% (Greater Amount) | Tier 3 - Non-Preferred Brands (Non Formulary Brands) | Not Covered |
| Specialty Drugs | $250 or 20% (Lesser Amount) | Specialty Drugs | Not Covered |
| * Generics exceeding $400 in drug cost will adjudicate at 20% coinsurance, not to exceed $250. | |||
Log in to the Member Portal to access:
Please Note: Flexible Spending Accounts and Vision Insurance are not administered by TLC.