Note: The information appearing in this resource is intended to be a general guide to the costs and choices available under your prescription drug plan. The actual coverage may vary. Please refer to your specific plan benefit information for more detail. If you need to speak with a representative, please call AultCare Customer Service at 330-363-6360 or 1-800-344-8858. Resources Search our Pharmacy Directory Printable Formularies Mail Order Pharmacy Walgreens Mail Order Form Mail Service Prescriber Fax Form Patient Brochure Walgreens FAQ Items of Interest Prescription Assistance Step Therapy Program Quantity Limitations 2013 Medications That Require Prior Authorization Specialty Medications Limited Distributions Medications 5th Tier Medications -not all plans subject to 5th Tier Free Meter Program Brand name medications that now have generic equivalents available. * All strengths & dosage forms may not be available * Zovirax ointment Bactroban Cream Singulair Antacand HCT Maxalt Maxalt MLT Lamictal XR Detrol Tablets Arthrotec Metadate CD Duac Note: Certain medications may be covered under medical, require prior authorization and/or may have plan limitations. Please call the AultCare Service Center at 330-363-6360 or 1-800-344-8858, if you have questions or if you need a pharmacy listing.