Rx RESOURCE GUIDE

The Health Plan is pleased to provide the following information and links to assist you in finding prescription drug plans and assistance programs. Please be aware that the Health Plan does not monitor these Web sites and, therefore, cannot be held responsible for any information which may be contained in or omitted from them. In addition, by listing these sites, the Health Plan is in no way endorsing, recommending or otherwise promoting the benefit programs of these companies.

• State Pharmaceutical Assistance Programs
  Many states offer a free or low-cost Pharmacy Program or discounted prescriptions to people without Rx coverage. Eligibility is based on need and family income, and, in some states, only seniors are eligible. Below are contact telephone numbers and information for the 6 more heavily participant-populated states:
  

  State	Contact Number	Information
  California	800 434-0222	Discount Program: Individuals eligible for Medicare can get their prescriptions at a MediCal-participating pharmacy at a 10-40% discount.
  New York	800 332-3742	Elderly Pharmaceutical Insurance Coverage (EPIC): Must be 65 or older and have an annual income of $35,000 or less if single or a combined annual income of $50,000 or less if married; Cost (if any) for Program is based on family income
  New Jersey	800 792-9745	New Jersey offers two Programs - One is for seniors, the other for seniors and the disabled; Eligibility is based on family income
  Florida	888 419-3456	Florida offers two programs - One is available to anyone on Medicare, the other is for low-income seniors
  Illinois	800 624-2459	Pharmaceutical Assistance Program (PAP): Must be 65 or older, disabled or a widow/widower and meet income requirements
  Texas	No Program	No Program

  
  
• Veterans Administration
  Veterans and military retirees may be eligible for prescriptions and other health care benefits through the U.S. Department of Veteran Affairs. Information may be obtained by calling (877) 222-8387 or through their Web site: www.va.gov
• Medicare Prescription Drug Plans
  Medicare Prescription Drug Plans (PDPs) are available for Medicare eligible retirees starting January 1, 2006. (Note: If you are in the SAG-Producers Health Plan, you already have prescription drug coverage that is more generous than the Medicare coverage; therefore, you should not enroll in a Medicare PDP, unless you qualify for Medicare’s limited income and resources provision.)
• Medicaid (Low-income, Need-based)
  Some states offer a prescription drug benefit to people eligible for Medicaid. Below are contact telephone numbers to Medicaid Offices in the 6 more heavily participant-populated states:
  
  

  State	Medicaid Office
  California (MediCal)	888 747-1222
  New York	800 206-8125
  New Jersey	800 356-1561
  Florida	888 419-3456
  Illinois	800 252-8635
  Texas	800 964-2777

  
  
• Insure Kids Now
  Children under age 19 not eligible for Medicaid may be eligible for free or low-cost insurance through 'Insure Kids Now'. The nationwide toll-free number for information on your state's guidelines is (877) 543-7669.
  
  The nationwide toll-free telephone number for the U.S. Department of Health and Human Services, of which both Medicaid and 'Insure Kids Now' are a part, is (877) 696-6775, or visit their Web site: www.hhs.gov
  

Pharmaceutical Companies

Many pharmaceutical companies provide access to prescription medications-discounted or free of charge to patients who cannot afford to buy drugs at retail prices. Following are two Web sites with pharmaceutical company and program information (Please note: These are information-only sites; They do not offer programs themselves):

• The Pharmaceutical Research and Manufacturers of America (PhRMA)
  www.phrma.org (then select 'Directory of Prescription Drug Patient Assistance Programs') (800) 762-4636
• NeedyMeds.com
  www.needymeds.com (then select 'Program List')

Pharmacy Benefit Managers (PBMs)

PBMs are private firms that contract with health plans or plan sponsors and specialize in claims processing and administrative functions involved with operating a prescription drug program. Some PBMs offer an individual pharmacy program. Be sure to check with any other health plan of which you are or have been a participant to inquire whether its PBM offers an individual pharmacy program. Listed below is the PBM used by entertainment plans that offers such a program. An annual enrollment fee may be required.

• Medco
  There are over 40,000 participating pharmacies, home delivery is available and members can receive a 12-40% discount off of cost. For additional information or to enroll, call Medco at (877) 733-6765.

Charitable Organizations

• AIDS DRUG ASSISTANCE PROGRAMS (ADAPs): ADAPs provide vital medications to low-income uninsured or underinsured people with HIV and AIDS.
  
  

  Alabama	800 228-0469	Montana	800 233-6668
  Alaska	800 478-2437	Nebraska	800 782-2437
  Arizona	602 230-5819	Nevada	800 842-2437
  Arkansas	501 661-2118	New Hampshire	800 752-2437
  California	888 311-7632	New Jersey	800 624-2377
  Colorado	800 858-2437	New Mexico	800 545-2437
  Connecticut	800 233-2503	New York	800 542-2437
  Delaware	302 739-3032 800 464-4357	North Carolina	800 342-2437
  District of Columbia	202 332-2437	North Dakota	800 472-2180
  Florida	800 352-2437	Ohio	800 332-2437
  Georgia	800 551-2728	Oklahoma	800 535-2437
  Hawaii	800 922-1313	Oregon	800 777-2437
  Idaho	800 677-2437	Pennsylvania	800 662-6080
  Illinois	800 243-2437	Puerto Rico	787 763-4575
  Indiana	800 659-7580	Rhode Island	800 726-3010
  Iowa	800 445-2437	South Carolina	800 322-2437
  Kansas	800 738-2437	South Dakota	800 592-1861
  Kentucky	800 221-0446	Tennessee	800 525-2437
  Louisiana	504 568-7474	Texas	800 299-2437
  Maine	800 851-2437	Utah	800 537-1046
  Maryland	800 638-6252	Vermont*	800 882-2437
  Massachusetts	800 228-2714	Virginia	800 533-4148
  Michigan	800 872-2437	Washington	800 272-2437
  Minnesota	800 248-2437	West Virginia	800 642-8244
  Mississippi	800 826-2961	Wisconsin	800 334-2437
  Missouri	800 533-2437	Wyoming	800 327-3577

  
  *In the state of Vermont this program is referred to as the AIDS Medication Assistance Program (AMAP).
  
• American Association of People with Disabilities (AAPD): Members of this association are eligible to receive prescriptions through RPS Pharmacy, Inc. (mail order) at a 20-40% discount. AAPD's Web site is www.aapd-dc.org.
• National Organization for Rare Diseases, Inc. (NORD): Offers a medication assistance program to uninsured or under-insured people. A financial need application can be requested by calling (800) 999-6673.