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Pharmacy Information

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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

Mail Order Pharmacy

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.

Last updated: 3/13/2018 12:00:00 AM
Copyright Aultman Health Foundation
AultCare Information Systems

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