Overview
Prescription benefits for Kern Legacy Classic Choice are administered by WellDyne.
WellDyne Website
WellDyne Universal Formulary (PDF)
A list of the most commonly-prescribed drugs covered by the Plan. Medications listed in all CAPS are considered Brand.
Specialty medications are provided by WellDyne Specialty Pharmacy.
WellDyne Specialty Pharmacy
The POS prescription benefit includes generic, brand-name, and specialty medications.
POS members can fill their prescriptions at Kern Medical pharmacies at reduced
copays for generic and preferred name-brand medications and, through the POS Plan’s
Over-the-Counter (OTC) prescription benefit, you can also receive some OTC non-sedating
antihistamines (NSA) and Proton Pump Inhibitor (PPI) medications for $0 copay with
a physician’s prescription.
Mail Order/Home Delivery Program
Mail Order
Frequently Asked Questions
Mail Order Registration and New Prescription
Order Form (PDF)
Mail Order Specialty Prescription
Form (PDF)
Other Documents & Forms
WellDyne Prescription Drug Claim Form (PDF)
Use this form to be reimbursed for each prescription that you purchased without
your prescription card. You will be reimbursed network pharmacy rates, less co-pays.
WellDyne Healthy Steps program
for managing diabetes (PDF)
Copays
POS Prescription Benefit copays - Active Employees
|
Prescription - Retail
|
30-day supply at a pharmacy:
$5 Generic
$15 Preferred Name-Brand *
$30 Non-Preferred Name-Brand *
90-day supply at CVS Pharmacy
$0 Generic
$15 Preferred Name-Brand *
$30 Non-Preferred Name-Brand *
|
Prescription - Mail order
|
90-day supply at WellDyne Mail Order Pharmacy:
$0 Generic
$15 Preferred Name-Brand *
$30 Non-Preferred Name-Brand *
|
POS Prescription Benefit copays - Retirees
|
Prescription - Retail
|
30-day supply at a pharmacy:
$5 Generic
$25 Preferred Name-Brand *
$40 Non-Preferred Name-Brand *
90-day supply at CVS Pharmacy
$0 Generic
$25 Preferred Name-Brand *
$40 Non-Preferred Name-Brand *
|
Prescription - Mail order
|
90-day supply at WellDyne Mail Order Pharmacy:
$0 Generic
$25 Preferred Name-Brand *
$40 Non-Preferred Name-Brand *
|
* If no generic available. Higher cost if generic is available.