Prescription Drug Plan

Tier Zero for 2008

Beginning in 2008, generic prescription drugs used to treat congestive heart failure, diabetes, high blood pressure and cholesterol will move to Tier Zero. The co-pay for Tier Zero prescription drugs will be waived to help make these drugs more affordable. Emory pays 100% and plan participants will pay $0 for a 30- or 90-day generic prescription supply. The Tier Zero structure is included for Aetna POS and BCBS PPO Medical Plans.

Some drugs that are included in Tier Zero are:

• Hydrochlorothiazide
• Furosemide
• Glyburide
• Simvastatin

Here is a complete list of all Tier Zero drugs.

Changes in tiers for other drugs.

• Liptor® and Crestor® will move from Tier 2 to Tier 1.
• Zocor® will move from Tier 3 to Tier 2.
• Nexium® will move from Tier 4 to Tier 3.
• Ambien CR®, Restoril® 7.5 mg and 22.5 mg and Sonata® will move from Tier 3 to Tier 4

An increase in co-pays for mail-order drugs.

• There will be an increase in mail-order Tier 1 through Tier 4 co-pays from $24/50/100/140 to $30/62/125/175.
• Keep in mind that you still pay less for a 90-day supply through mail-order than by purchasing three (3) 30-day supplies via retail

(Please be aware Tier Zero will appear as Tier 5)

How to Fill Your Prescription

Use your Medco Pharmacy Card at a participating pharmacy when you have a prescription filled.

To begin using the Mail-In Prescription service:

• Step 1: Call Medco Prescription Service at (800) 473-3455. Customer Service will assist you in getting your prescription to Medco by mail or fax.
• Step 2: Mail your written prescription with the Medco Prescription Mail Order Form or have your doctor fax in your prescription with the Medco Prescription Fax Form. Make sure your information is on the forms.

Note: Refer to Benefits Terminology for an explanation of terms, if necessary.

Vendor Contacts

Medco
(800) 939-3758

How the Plan Works

Emory's prescription drug benefits for the Aetna POS and BCBS-GA PPO Plans are provided by Medco and enable you and your covered dependents to have prescriptions filled at a participating pharmacy or to use the mail service program.

Prescription drugs are divided into five tiers which affect the cost of the drug. Having the prescription filled at a retail pharmacy versus using the mail service also affects the cost.

* Your plan documentation provides you with a booklet listing the most common drugs and their tier level. Your physician and pharmacist can also provide information on the tier level for specific drugs.

** Mail Order - Maintenance medications (taken daily) should be issued by your physician and remitted to Medco as a 90 day supply, refillable 3 times.

You can take advantage of Medco's mail order program to obtain up to a three-month supply of maintenance drugs for the cost of two retail co-pays. You should request two prescriptions from your doctor; the first, for a 30-day supply to fill immediately at a participating pharmacy and second, for a 90-day supply to be filled through the mail.

Note:

• If the cost of the drug is less than the co-pay, you pay the cost of the drug.
• At retail, when a generic drug is available, but the brand name is dispensed for any reason, you pay the brand co-pay plus the difference between the brand-name drug and the generic drug.

Plan Information Documents

Benefits Terminology	Tier Zero
Medco Pocket Formulary Guide

Plan Forms

Medco Prescription Mail Order Form	Medco Prescription Fax Form
Medco Prescription Claim Form

Emory University Benefits

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1599 Clifton Road, NE
Atlanta, GA 30322
(404) 727-7613

Disclaimer

Emory reserves the right to terminate, suspend, withdraw, amend or modify the Plan in whole or in part at any time. Further, Emory reserves the right to terminate or modify coverage for any group of employees, active or retired and their dependents or a class of dependents at any time.