Your prescription drug benefit is administered by ProCare Rx (www.procarerx.com). ProCare Rx 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 ProCare Rx.
Your prescription drug benefit features a formulary drug list. A formulary is a list of preferred medications organized into groups or "Tiers". To find if your drug is on the formulary and in which tier, contact ProCare Rx at 1-800-699-3542 or login to the Pharmacy Portal.
To access the Pharmacy Locator, please visit Pharmacy Benefits and Claims Login to the right.
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. Contact ProCare Rx Help Desk at 1-800-699-3542 if you need an early refill and for all other refill inquiries.
| 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) |
| Compound Drugs** | $25 | Compound 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 |
| * Generics exceeding $400 in drug cost will adjudicate at 20% coinsurance, not to exceed $250. ** Not to exceed $250 in drug cost. Must be filled at Chancy Drugs pharmacy stores. | |||
Log in to the Member Portal to access:
Please Note: Flexible Spending Accounts and Vision Insurance are not administered by TLC.
Download the BENEFITS AND CLAIM PORTAL step-by-step guide.