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Pharmacy
Depending on your member status, you and your dependents have up to three different options for obtaining your prescription drug services. If you need clarification on the details of your benefits program, please refer to the Benefits Overview section.
Important Note: Some drugs require Prior Authorizations (PA) before coverage is provided. If you require a prior authorization, ask one of our TeamstersCare pharmacists about the process of obtaining a medication PA. In most cases, your doctor will need to fax a completed PA form to TeamstersCare at (617) 241-5025. For a list of medications requiring a prior authorization, click here. Please note this list is subject to change.
TeamstersCare Walk-in Pharmacies
The TeamstersCare walk-in pharmacies provide prescription services and consultations for a modest copay at two convenient locations:
To fill a prescription, bring your script to either TeamstersCare location, have your doctor fax it to us, or ask the TeamstersCare pharmacist to call your doctor on your behalf.
To refill a prescription:
- By Phone: call the Charlestown or Stoughton Pharmacy and use the automated Telemanager system. Simply follow the phone prompts and use the keypad on your phone to submit the required information (make sure you have your prescription available).
- Online: click the link and submit the required information.
- PocketRx: Download the PocketRx app to refill you prescriptions on the go!
Have a maintenance medication?
You may choose to receive up to a 30-day supply of a new maintenance medication at no cost to you at either TeamstersCare walk-in pharmacy. If the medication doesn’t work for you and your doctor changes your prescription, you haven’t wasted your copay for the initial prescription. If the medication does work as expected, you can fill the balance of the prescription (up to a 60-day supply) with the usual copay.
Download the PocketRx App
The PocketRx App is the fastest and easiest way to refill and manage your prescriptions. By downloading the PocketRx App to your mobile device, you can refill your prescription at the Charlestown or Stoughton TeamstersCare Pharmacy on the go. The app is available for iPhone, iPad and Android smartphones and tablets.
To refill a prescription, you must be enrolled in a TeamstersCare Active, MSTS or Retiree Health Program that includes the Pharmacy Benefit.
PocketRX App Instructions
Download the PocketRx app on iTunes or Google Play.
Simply enter the zip code of your TeamstersCare Pharmacy
Charlestown – 02129 or Stoughton – 02072
then select that TeamstersCare Pharmacy.
For more information, call one of our TeamstersCare Pharmacies
Charlestown: 617-241-9024
Stoughton: 781-297-9764
Mail-Order Prescription Service
If you have a long-term or maintenance medication, you can have it filled by mail through the Express Scripts Pharmacy. They will mail you up to a 90-day supply via UPS or USPS for the cost of your copay.
To get started, complete an Express Scripts Pharmacy mail order form and submit it along with your prescriptions. Or, you may register at Express-Scripts.com to refill your mail order prescriptions online.
For more information, or to speak with an Express Scripts Pharmacist, call their Member Services Department toll free at (877) 543-7097.
Retail Pharmacies
You can use your Express Scripts prescription drug card at a retail pharmacy, but you’ll have to pay a higher copay and, in some instances, coinsurance.
To find an in-network pharmacy near you, call Express Scripts Member Services toll free at (877) 543-7097 or go to www.express-scripts.com and log in to your account. If you don’t currently have an account, you can use your prescription drug card to register online.
You also have the option of using an out-of-network pharmacy, but you will be required to pay the full amount of your prescription at the point of sale – including the appropriate copay. You may then submit a claim form (within 12 months) with an itemized receipt of your prescription purchase to:
Express Scripts
PO Box 14711
Lexington, KY 40512
Specialty Medications
TeamstersCare has a dedicated program for specialty mediations, which include certain high-cost prescription medications that are used to treat complex conditions. These medications are available at TeamstersCare Pharmacies for pickup or through the Accredo Specialty Pharmacy (mail-order only). They are not available at retail pharmacies.
If you use the Accredo Specialty Pharmacy to fill your prescription, they will monitor the shipment of your medication, contact you via telephone to be sure you will be home to accept the shipment and be available for consultation 24 hours a day, 7 days a week. To contact them, you may call them toll-free at 1-877-543-7097 or visit them online at www.accredo.com.
Pharmacy FAQs
I have misplaced (or never received) my Express Scripts ID card. How do I get a new one?
You need a current Express Scripts prescription drug card to use a retail pharmacy. Contact Express Scripts by phone at 877-543-7097 or online at www.express-scripts.com. They will issue you a card and will also give you the information you’ll need to fill a prescription before the card arrives.
I am trying to get my prescription filled at a retail pharmacy and the Pharmacist told me my prescription card was invalid. What do I do?
You need a current Express Scripts prescription drug card to use a retail pharmacy. Contact Express Scripts by phone at 877-543-7097 or online at www.express-scripts.com. They will issue you a card and will also give you the information you’ll need to fill a prescription before the card arrives.
My medical card is not working at a retail pharmacy. Why?
Your pharmacy benefit is provided by Express Scripts. You must use your Express Scripts prescription ID card at a retail pharmacy.
How do I get a 90-day supply of my medication (rather than a 30-day supply) so I can save on my copays?
If you take maintenance medications (prescription medications that you take for chronic long-term conditions such as diabetes, hypertension, etc.), ask your doctor to write you a 90-day prescription. You must fill these 90-day prescriptions at one of the TeamstersCare Pharmacies or through the Express Scripts Mail Order Program; you cannot fill them at a retail pharmacy.
What medications does TeamstersCare cover that will help me quit smoking?
TeamstersCare covers two medications to help you quit smoking:
- Bupropion SR (Generic Zyban):
- You are eligible for up to two free 12-week trials per year with no copay through the TeamstersCare pharmacies or Express Scripts mail order program.
- Chantix:
- You are eligible for up to two 12-week trials with copay at TeamstersCare pharmacies or through the Express Scripts mail order program. You may file a claim with TeamstersCare for reimbursement of the copays.
How do I get reimbursed for Chantix copays?
Once you have filled your prescription for Chantix at a TeamstersCare Pharmacy or through the Express Scripts Mail Order Program, you may submit your receipt along with a Chantix Reimbursement Form to TeamstersCare Member Services. Forms are available at both TeamstersCare Pharmacy locations. You may also download a form here.
Does TeamstersCare cover Erectile Dysfunction medications?
Yes, erectile dysfunction medications such as Viagra, Levitra, and Staxyn are covered with a limit of 6 tablets per month or 18 tablets for 90 days.
How do I use the Prescription Mail Order Option?
Ask your doctor to send your prescriptions to Express Scripts. In addition, you must contact Express Scripts to set up your account and provide billing information. You may contact Express Scripts toll-free at 877-543-7097 or online at www.express-scripts.com.
How do I get a copy of my medication records?
To obtain a copy of your medication records, you need to complete a Release of Information Form and submit it to a TeamstersCare Pharmacy. This form is available at both TeamstersCare pharmacies or by clicking here. If you cannot get to a TeamstersCare Pharmacy and are unable to print the form, please contact one of the TeamstersCare Pharmacies directly and we’ll mail it to you.
Can I obtain a copy of my yearly TeamstersCare pharmacy copays for tax purposes?
Yes, you may request a printout of your yearly TeamstersCare pharmacy copays by contacting one of the TeamstersCare Pharmacies.
I am going on vacation and will run out of my prescription medication while I’m away. Is it possible to get an advance on my refill?
TeamstersCare Pharmacies are able to fill your medications early under certain circumstances. Contact the pharmacy with your request.
Is there a benefit to using a TeamstersCare pharmacy instead of my local drug store?
There are two major benefits to using a TeamstersCare pharmacy. First, you will pay a lower copay than at retail. Secondly, you are able to fill your prescription for 90 days at a time rather than the 30-day limit at a retail pharmacy.
Can I call ahead to get my prescription refilled at the TeamstersCare Pharmacies?
Yes! In fact, that’s the preferred method and will ensure your prescription is ready when you arrive. To refill your prescription at a TeamstersCare pharmacy, call the Charlestown or Stoughton location. You can also request a refill using our online prescription refill service or even better, download our PocketRx app.
