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I need a prescription drug plan.Does my pharmacy participate?The following information is for the 2009 plan year. For information on the 2008 plan year, click here.
Generally, we only cover drugs filled at an out-of-network pharmacy in limited, non-routine circumstances when a network pharmacy is not available. If you are traveling within the United States and become ill, lose, or run out of your prescription drugs, the Medi-CareFirst Part D plan will cover prescriptions that are filled at an out-of-network pharmacy. You will have to pay the full cost (rather than paying just your copay) when your prescription is filled and will need to submit a claim form (78KB, 2pgs.) You may be responsible for paying the difference between what we would pay for a prescription filled at an in-network pharmacy and what the out-of-network pharmacy charged for your prescription. Call Claims Customer Service at 1-800-693-1434 (TTY: 1-800-693-0765), 24 hours a day/7 days a week to find out if there is a network pharmacy in the area where you are traveling. If there are no network pharmacies in that area, Customer Service may be able to make arrangements for you to get your prescriptions from an out-of-network pharmacy.
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Additional Information
Quick Links
Talk with a Representative from Medi-CareFirst at upcoming events.
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