MedicareRx Enhanced Plus Drug Discounts Program
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1 The products and services described below are neither offered nor guaranteed under our contract with the Medicare program. In addition, they are not subject to the Medicare appeals process. Any disputes regarding these products and services may be subject to the AARP MedicareRx Enhanced plan, insured through UnitedHealthcare, grievance process. AARP MedicareRx Enhanced Plus Drug Discounts Program Save 15% 55%* on prescription drugs not normally covered by Medicare Part D! As a member of the AARP MedicareRx Enhanced plan, insured through UnitedHealthcare, you may save an average of 30%* on most prescription drugs that are not normally covered by Medicare Part D. Discounts are available on thousands of commonly used brand-name and generic prescription drugs. For example, you can get discounts on medications used for weight loss, erectile dysfunction (ED), hair growth, insomnia and anxiety, as well as prescription vitamins and prescription cough and cold medications. Discounts are not offered for over-the-counter medications. Using the Plus Drug Discounts program is easy. To receive your discount at the pharmacy counter, simply show your existing AARP MedicareRx Enhanced plan member ID card at a participating network pharmacy when you purchase a prescription. You will be charged the discounted rate for your prescription. Almost all of the 60,000 network pharmacies participate in the program. In most cases, you will be able to receive your discount at the network pharmacy you are currently using. To find out if your specific pharmacy participates, please call UnitedHealthcare Customer Care at the number listed below or on the back of your AARP MedicareRx Enhanced plan member ID card. You can also ask your pharmacist if your pharmacy participates in the Plus Drug Discounts program. On the following pages is a partial list of prescription drugs that are eligible for discounts under the Plus Drug Discounts program. This list of drugs may change throughout the year. If your drug is not included on this partial list, please call UnitedHealthcare Customer Care at the number listed below to determine if your specific drug is eligible for a discount under the Plus Drug Discounts program. Para In Bold información Type = en Brand-Name español, por Drugs favor llame al departamento de atención al cliente de UnitedHealthcare. 1
2 Adipex-P Allanderm-T AlleRx AlleRx DF AlleRx PE Alprazolam Analpram-HC Anucort-HC Ativan Benzonatate Softgels Butalbital/Acetaminophen/Caffeine Butalbital/Aspirin/Caffeine Carbofed DM Cardec DM Caverject Cerefolin Ceron-DM Cheratussin Chlor/Phenylephrine Tannate Chlordiazepoxide-Clidinium Chlorpheniramine DM Cialis Clomiphene Citrate Clonazepam Clonazepam ODT Clorazepate Dipotassium C-Phen DM Crantex LA Cyanocobalamin Dec-Chlorpheniramine Diastat Acudial Diazepam Epidrin Esterified Estrogen Irritable Bowel Seizures 2
3 Estratest Estratest HS Fioricet Fiorinal Folbee Folic Acid Follistim AQ Gonal-f RFF Guaifenesin Guaifenesin/Dextromethorphan Hista-Vent Histinex HC Hydrocodone/Guaifenesin Hydrocodone/Phenylephrine/Dexbrompheniramine Hydrocodone Bitartrate/Homatropine Methylbromide Hydrocort Hydrocortisone Hydro-DP Hydromet Iophen C-NR Klonopin Levitra Lodrane 24 ER Lorazepam Meperidine Mephyton Meprozine Meridia Muse Niravam Ny-Tannic Optase Oxazepam Phenavent LA Inflammation and Itching Panic or Seizure Pain Pain 3
4 Phenazopyridine Phentermine Phenyleprhine Chlorpheniramine Pramosone Prometh/Codeine Promethazine Promethazine VC Propecia Restoril Rondex-DM R-Tanna Sildec PE-DM Temazepam Triazolam Tri-Luma Tussi-12D Tussionex Valium Viagra Vi-Q-Tuss Vitamin D Wellbid-D Xanax Xenaderm Urinary Tract Infection Inflammation and Itching Hair Loss Sleep Sleep Skin Lightening Agent 4
5 * This program provides discounts off the full retail price of prescription drugs not normally covered by Medicare Part D. Program prices are subject to change and may vary by network pharmacy. The Plus Drug Discounts program is a prescription drug discount program, not a plan benefit. The drug costs and savings received through this program will not appear on your monthly Explanation of Benefits (EOB) statement. The drug costs for these prescriptions do not affect your progress up to or through the coverage gap. This Medicare Prescription Drug Plan (PDP) is insured by United HealthCare Insurance Company or United HealthCare Insurance Company of New York for New York residents (together called UnitedHealthcare ). AARP MedicareRx Plans carry the AARP name, and UnitedHealthcare pays a fee to AARP and its affiliate for use of the AARP trademark and other services. Amounts paid are used for general purposes of AARP and its members. AARP is not the insurer. UnitedHealthcare contracts with the Federal government as a PDP sponsor. All decisions about prescription drugs are between you and your physician or other health care provider. AARP does not make prescription drug plan recommendations for individuals. You are strongly encouraged to evaluate your needs before choosing a prescription drug plan. SAPDP _XAEE000
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