Laborers health and welfare trust fund for northern california

Laborers Health and Welfare Trust Fund for Northern California
220 Campus Lane
Fairfield, CA 94534-1498
1 (707) 864-2800 or 1 (800) 244-4530
All Active and Retired Plan Participants Including Special Plan for Active Employees
When the term “Specialty Pharmacy” is used, it means a contracting pharmacy that provides covered Specialty
Medication used to treat covered chronic or acute illnesses. Specialty Medication may be either oral or an
injectable.
The contracting Specialty Pharmacy offers services to manage Specialty Medications, including training from
pharmacists and nurses on the proper use of Specialty Medications. Specialty Medications often require special
storage and handling not available from a retail pharmacy.
Effective December 1, 2010, Prescription Solutions Specialty Pharmacy replaces CuraScript as the contracting
Specialty Pharmacy. Eligible individuals currently using covered Specialty Medications were notified on October
25, 2010 by Prescription Solutions and those individuals will subsequently be contacted by a Prescription Solutions
Specialty Pharmacy team member, by phone, shortly before December 1, 2010 to coordinate the transition to
Prescription Solutions Specialty Pharmacy.
This Announcement is a reminder to Participants about the requirement, under the Health and Welfare Plan, that
eligible individuals who use covered Specialty Medications must use the Fund’s contracting Specialty Pharmacy
for covered Specialty Medications that are either 1) self-administered (oral or injectable), or 2) administered at the
doctor’s office. Injectables are covered only if they are on the list of covered injectables and they are obtained
from and distributed under a program managed by the Plan’s Specialty Pharmacy. Some covered injectables,
such as insulin and Imitrex®, are not Specialty Medications and as such they may be obtained from a retail
contracting or non-contracting pharmacy (although you may experience a higher share of cost using non-
contracting pharmacies), or the Prescription Solutions Mail Service Pharmacy.
If you have questions about Specialty Pharmacy and whether any medication you are taking is considered a
Specialty Medication, call Prescription Solutions at 1 (866) 218-5445 or visit the web site at

This Announcement is intended to be a brief summary of the Plan change. It cannot describe each and every Plan Provision that may be relevant to your
situation. You should always refer to your Plan Booklet for the full details of your Plan. You should keep all Announcements with your Plan Booklet so
that it contains up-to-date information on the Plan.
Keep this Announcement with your Health and Welfare Plan Booklet: Active Plan, March 2006 – Article V., Section 3.g(5)(i); Article VI., Section 1.e; Article VI., Section 3.g Special Plan for Active Employees, March 2006 – Article V., Section 3.g(5)(i); Article VI., Section 1.e; Article IV., Section 3.g Retired Plan, March 2007 – Article IV., Section 1.f; and Section 3.g

Source: http://www.norcalaborers.org/PDF/Booklets/HWRetired/hw-retired-20070301-insert-06.pdf