Welfare Summary Plan Description

PRESCRIPTION DRUG BENEFIT – See section 8

Benefit Funded by the Trust

  Preferred Participating
Retail Pharmacy**
(Up to 90-Day Supply)		 Mail Order Pharmacy Non-Participating Pharmacy***
Generic Drugs Participant co-payment is 20% for each prescription. Participant co-payment is $20 for each prescription. No reimbursement.

Preferred Brand-name Drugs*

Reimbursement Limitations apply, see below*

 Participant co-payment is 35% for each prescription. Participant co-payment is $50 for each prescription. No reimbursement.

Non-Preferred Brand-name Drugs*

Reimbursement Limitations apply, see below*

 Participant co-payment is 50% for each prescription. Participant co-payment is $100 for each prescription. No reimbursement.

*REIMBURSEMENT LIMITATIONS:
If you or your Physician request that your prescription be filled with a brand-name Drug when a generic equivalent is available, you will be responsible for paying the full difference in price between the generic and brand-name Drug in addition to your brand-name Prescription Drug co-payment. The generic drug price is that established by the Plan’s Pharmaceutical Provider.

If you fail to use your prescription drug card at a participating pharmacy, there is no reimbursement.

**HEALTHTRANS 90RX PROGRAM:
Beginning April 1, 2007, through the HealthTrans Discount 90Rx program, after obtaining a long-term prescription (greater than a 34-day supply) from your physician, you may visit a preferred participating 90Rx pharmacy and fill up to a 90-day supply of select maintenance medications. A list of maintenance medication can be obtained by visiting the web site.

***OUT-OF-NETWORK:

If no in-network pharmacy is located in the Participant’s area, Participant’s copayment is 50% of the Drug cost per each prescription filled out-of-network.