58 Obtaining your Prescription CVS Caremark has a large nationwide network of participating pharmacies. To locate a particip ating pha rmacy, you can check the website noted above, or you can contact the Fund Office for assistance. When you fill your prescription at a participating pharmacy, you should present your CVS Caremark Prescription Drug Card to the pharmacist and pay the applicab le copayment or coinsurance . The pharmacy will submit an electronic claim to CVS Caremark for direct reimbursement of the amount that exceeds your copayment or coinsurance . You are not responsible for any paperwork after you pay your copayment or coinsuran ce . Note : If you use a pharmacy that is outside of the CVS Caremark Pharmacy network to have your prescription filled or refilled it will not be covered by the Plan and you will be responsible for the full cost of your prescription. If you have any quest ions or problems in connection with your prescription drug purchase, please contact the Fund Office at 202 - 785 - 8148 or 800 - 457 - 3481 for assistance. Mail Order Program The Prescription Drug Coverage also includes a convenient mail order option that is an ex cellent alternative, especially in the case of prescription drugs that are used on an on - going basis. Under the ma il order program, the CVS Caremark Mail Service Pharmacy will send your prescription drugs directly to the location of your choice, and st anda rd shipping is free. You also have the ability to speak to a registered pharmacist 24 hours a day, seven days a week, and can order refills from CVS Caremark by telephone or through the internet at www.caremark.com . Contact the CVS Caremark mail order department at 800 - 824 - 6349 to obtain information about this program, or go to the CVS Caremark website at www.caremark.com and register to obtain more information or to comp lete m ail order forms. You also can contact the Fund Office for further information about the Mail Order Program by telephone at 202 - 785 - 8148 or 800 - 457 - 3481. Specialty Medications CVS Caremark Specialty Pharmacy Services ( CVS Specialty ) is the exclusive p rovider for Specialty Medications under the Prescription Drug Coverage. Specialty Medications include select injectable and oral medications that target and treat specific chronic and/or genetic conditions. They are bioengineered proteins, blood derived pr oducts, and complex molecules that generally require special handling and dispensing. Prescriptions for these medications are not filled at a retail pharmacy using your CVS Caremark Prescription Drug Card. Instead, you must obtain Specialty Medications thr ough the Specialty Pharmacy Program. The Plan participates in the CVS Caremark Specialty Guideline Management Program, which is designed to promote the appropriate use of Specialty Medications. The Program starts with a review and approval process oversee n by clinical specialists at CVS Specialty . When Specialty Medications are prescribed, CVS Specialty will contact your physician or Allied Health Professional directly to obtain the necessary clinical information that will enable them to make approval deci sions based on drug - specific guidelines. CVS Specialty must approve the use of all Specialty Medications, and will discuss alternatives with your physician or Allied Health Professional if any proposed medication does not meet with the applicable guideline s. Following approval, Specialty Medications may be obtained only through CVS Specialty . A list of covered Specialty Medications can be obtained by calling CaremarkConnect ® toll - free at 800 - 237 - 2767. If you are prescribed a drug that is on the list, or if your pharmacist tells you that an item you are requesting is a Specialty Medication, you should call CVS Specialty at the toll - free number shown above and identify yourself as a participant of the National IAM Benefit Trust Fund. CVS Specialty will contact your physician or Allied Health Professional directly and take care of all paperwork. In addition,

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