Maricopa County Total Compensation Department
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Walgreen's Health Initiatives
New for 2003
Addition of WHI Prescription Benefit Is 2003's Biggest Change

The addition of Walgreens Health Initiatives (WHI) as administrator of Maricopa County's new self-insured prescription coverage for all CIGNA members is the biggest change for 2003. All three CIGNA plans will have the same prescription benefit through WHI. (HealthSelect members will continue to use HealthSelect's network.)

What's not changing is the size of the pharmacy network. WHI's coverage is not limited to just Walgreens. Albertsons, Bashas, Fry’s, K-Mart, Osco, Safeway, Target, Wal-mart, and, of course, Walgreens are among the many pharmacies included in WHI's network. Not sure where the nearest pharmacy is? Try WHI's Pharmacy Locator service. When you get to the pharmacy locator, you must enter 512229 in the Six Digit RxGrp Number field.

What is changing is how the benefit is structured. Rather than using the familiar flat "co-payment" system, WHI's coverage will use a sliding scale "co-insurance" system. This system is designed to maintain consumer choice, while limiting premium increases caused by certain high cost drugs. 

Under this new system, members will pay 25% of the cost of prescriptions for generic drugs (with a minimum of $2 per script and a maximum of $10). For brand name drugs that are in WHI's formulary guide, members will pay 30% of cost (with a minimum of $5 per script and a maximum of $25). For brand name drugs that are not in WHI's formulary guide, members will pay 30% of cost (with a minimum of $20 per script and a maximum of $50). There will also be an annual out-of-pocket maximum of $1,500 for single coverage, and $3,000 for the employee and children, employee and spouse, and employee and family coverage tiers. (In other words, once the employee hits the annual maximum, they no long have to pay anything out of pocket.) For additional information, see the links to the right.

Mail order pricing has not been established yet, but should be available within the next few weeks.

Please note: CIGNA HMO members will no longer be able to fill prescriptions at CIGNA pharmacies.

Last Updated 12/20/02
 

 

MariPlan
is Maricopa County's 
Employee Benefits Plan.
2003 Prescription Information:


>> WHI Prescription Drug Pricing Form

>> 2003 Prescription Plan Overview

>> 2003 Prescription Examples

>> Top 50 Prescription Products Cost Comparison Chart

>> Current WHI Three Tier Formulary Guide (Summary Organized by Medication Type)

>> Current WHI Three Tier Formulary Guide (Summary Organized by By Medication Type - Spanish Version)

>> Current Complete WHI Tier 2 Formulary Guide (Alphabetical Listing)

>> Current Complete WHI Tier 3 Formulary Guide (Alphabetical Listing)

>> Retail Pharmacy 30 Day Copay as of 11/04/2002 Microsoft Excel File

>> Retail Pharmacy 90 Day Copay as of 11/04/2002 Microsoft Excel File

>> Mail Service 90 Day Copay as of 11/04/2002 Microsoft Excel File

>> Mail Service FAQ

Some links require Adobe Acrobat. To get Acrobat, click here:


 
 

 

 
Home Page | Related Links | Story Page | What's New
HealthSelect | CIGNA | WHI | UBH | Avesis | Dental | Retirees | COBRA | MariFlex | Forms

To contact us:
Total Compensation Department
Employee Benefits Division
301 W. Jefferson, Suite 201
Phoenix, Arizona 85003

Phone: 602-506-1010
Fax: 602-506-2354
Email: benefitsservice@mail.maricopa.gov