77 are prescribed, CVS Specialty will contact your physician directly to obtain the necessary clinical information that will enable them to make approval decisions based on drug-specific guidelines. CVS Specialty must approve the use of all Specialty Medications and will discuss alternatives with your physician if any proposed medication does not meet with the applicable guidelines. 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 directly and take care of all paperwork. In addition, they will provide confidential and convenient delivery of your medication to the location of your choice (i.e., home, work, doctor’s office, vacation spot, etc.) CVS Specialty’s pharmacist-led CareTeam also will provide condition-specific education, drug administration instruction, and expert advice to help you manage your therapy. The program includes access to pharmacists and other health experts who can provide condition-specific materials. The CareTeam also will perform follow-up calls to remind you when it’s time to refill your prescription, check on your therapy progress, and answer any questions. If you have questions, please call the toll-free CaremarkConnect® number, 800-237-2767. If you have a hearing impairment and need telecommunications device (TDD) assistance, please call CaremarkConnect® toll-free at 800-231-4403. In addition, you can always contact the Fund Office at 202-785-8148 or Quantum Health at 866-871-0839. PrudentRx Copay Program for Specialty Medications The Plan participates in the CVS PrudentRx Copay Program (“PrudentRx Copay Program”) for certain specialty medications, Participant enrollment in the PrudentRx Copay Program becomes effective after the participant has met the enrollment requirements, outlined below. The PrudentRx Copay Program helps participants who enroll in manufacturer copay assistance programs. Medications in the specialty tier are subject to a 30% co-insurance. Participants enrolled in the PrudentRx Copay Program who get a copay card for their specialty medication (if applicable), will have a $0 out-of-pocket responsibility for their covered prescriptions under the PrudentRx Copay Program. Copay assistance is a process in which drug manufacturers provide financial support to patients by covering all or most of the patient cost share for select medications, particularly specialty medications. The PrudentRx Copay Program will assist members in obtaining copay assistance from drug manufacturers to reduce a participant’s cost share for eligible medications, thereby reducing out-of- pocket expenses. Participation in the program requires certain data to be shared with the administrators of these copay assistance programs. Any data sharing is done in compliance with HIPAA. If you or a covered family member are not currently taking but will start a new medication covered under the PrudentRx Copay Program, you can contact PrudentRx, or they will proactively contact you to enroll. PrudentRx can be reached at 1-800-578-4403 to address any questions regarding the PrudentRx Copay Program. The Plan may periodically update the PrudentRx Copay Program Drug List.