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  - Prescription Claim Form (PDF)
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  - Specialty Drugs
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To use your pharmacy coverage, present your member ID card at a participating pharmacy. Some members have a separate drug card for pharmacy benefits. Your ID card should list your copayments and coinsurance if applicable. survey
Personal Benefits Information
Pharmacy Claim Search: Your prescription claims history, including prescription number, date filled, prescriber, quantity, pharmacy, amount paid by you and amount paid by your pharmacy plan.
Note: To access information about your personal pharmacy claims, you must register to use My Blueprint, our member self-service center.

Network Pharmacy Search: Search for a network pharmacy by name, city, state or zip code. Maps and driving directions are provided.

To Keep You Informed
Find Drug Information: Information about medications, their use, how to take them, and possible side effects.

Better Service for You
Mail-Order Drugs: A description of the mail-order option some employers have chosen for their employees and a link to the mail-order form.

Prescription Claim Form (882 KB PDF): Printable form in portable document format (PDF).

Specialty Drugs: A description of the program that covers injectable and select oral medications.

Using Your Pharmacy Benefits: How to use your benefits and the advantages your pharmacy plan offers you.

Arkansas state and school employees use another vendor for their pharmacy benefits administrator. For your benefits information, go to your customized site.
Go Generic
Go Generic: Information about the cost and quality of generic drugs, including:
Printable Drug Lists Printable Drug Lists
2009 Preferred Drug List (43 KB PDF): Generic and lower-cost brand-name medications.


Formulary One (3034 KB PDF): List of common generic, preferred and third-tier drugs and those that require prior authorization.


Maintenance Drugs (41 KB PDF): Medications considered to be necessary for long periods of time.


Prior Authorization List (32 KB PDF): Medications that require prior approval. For authorization, call (501) 378-3392.


 


 
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