Columbia County is required to take part in an open and competitive business practice of issuing a Request for Proposal (RFP) for various services including pharmacy benefits management. After interviewing multiple companies who submitted proposals, the Health Insurance Committee recommended the acceptance of the proposal from CDPHP to the Columbia County Board of Supervisors and was passed by Board Resolution at the September 14, 2022 meeting.
Due to this change, you will receive a new CDPHP ID card, in the mail, in December. Please be sure to use this new ID card starting January 1, 2023 for all of your health and prescription needs. You will now have 1 ID card for both your doctor and your pharmacy.
The plan will run just like the ProAct plan with the same copays.
Retail pharmacy Tier 1 $5, Tier 2 $20, Tier 3 $40, Prescription available at CanaRx $60.
Maintenance medications filled at a local retail pharmacy instead of mail order will result in a double copay.
Mail order prescriptions for a 90 day fill Tier 1 $10, Tier 2 $40, Tier 3 $80
CDPHP also has a Specialty Tier 4 and Specialty Tier 5. Specialty prescriptions usually have a rebate card or coupon and you could pay as little a $0 for your prescription. CDPHP and their Specialty pharmacy will help you acquire any discount, coupon or rebate available. The max you would pay for your prescription fill is Specialty Tier 4 = $40 mail order and Specialty Tier 5 = $80 mail order.
Mail order prescriptions will be transferred from ProAct to CDPHP's mail order service with Walmart Pharmacy Home Delivery. If you have a mail order prescription, after January 1, please call Walmart Pharmacy Home Delivery using the number on the back of your new ID card to set up your account, add a payment method, arrange for automatic delivery of your prescriptions, etc. I have attached a flyer with more information on Walmart Pharmacy Home Delivery.
Any Prior Authorizations you may have for a prescription with ProAct/Noble will also be transferred to CDPHP so you will not need to go through the process again.
If you have a Specialty Medication filled through ProAct's Noble Pharmacy, your prescription will be transferred to CVS Caremark Specialty Pharmacy for filling and delivery. CVS Caremark Specialty Pharmacy will be reaching out to you to set up your account and delivery information with them. If you do not hear from them by January 1st, please contact them at 1-800-237-2767.
I will be out with CDPHP on the following dates, times and locations, please feel free to stop by to address any concerns and ask any questions you may have about this prescription change.
11/14/22 9am-11 325 Columbia Street - 2nd floor conference room
11am-12 610 State Street - Probation conference room
12:30-1 County Clerk/DMV lunch room basement
1pm-1:45 Real Property office
2pm-3 Public Safety Building
11/17/2022 8:45am-9:30 Highway - Central Garage
9:45am-10:30 401 State Street - 1st floor Committee Room
11/21/22 9am-9:30 Philmont Nutrition site
1pm-3 401 State Street - 1st floor Committee Room
If you are unable to make one of these visits, please send Laurie Halstead your questions and she will get them answered for you.