Correction: a previous e-newsletter stated that some non-Medicare eligible retirees are receiving erroneous letters from OptumRx. We would like to clarify that both non-Medicare eligible and Medicare eligible retirees may receive erroneous letters. Please see the article below regarding this issue for more details.

Some retirees will receive letters from OptumRx that were sent in error.

These letters indicate that:

• members will pay more for their medication;
• that quantity limits apply to their prescription; or
• that their medication requires prior authorization to determine if it will be covered under the plan.

These letters contain incorrect information. The retiree prescription drug benefits are not changing.

Beginning January 1, 2019, OptumRx will process AlaskaCare pharmacy claims, but you will continue to get the same medication you do today, for the same copays that you pay today.

If you have received a letter that contains one of the below statements, please disregard. These letters do not apply to the AlaskaCare retiree prescription drug plan.

• Beginning January 1, 2019, you will pay more for the medication(s) below.
  • This is inaccurate. You will continue to receive medications for $0, $4, and $8 copayments.
• Beginning January 1, 2019, you will need prior authorization (PA) for the medication listed below.
  • This is inaccurate for most members. Some Medicare-eligible members may require prior authorization to determine if their medication will be paid by the EGWP or the wrap benefit; however, the letters sent erroneously by OptumRx reference additional prior authorization or quantity limits that do not apply to the AlaskaCare retiree health plan. If you have questions about your prescriptions, you can call OptumRx toll-free at (855) 409-6999, TTY 711.
• Beginning January 1, 2019, there will be a new limit to the quantity or supply limit of the medication listed below that will be covered.
  • This is inaccurate for most members. Some Medicare-eligible members may require prior authorization to determine if their medication will be paid by the EGWP or the wrap benefit; however, the letters sent erroneously by OptumRx reference additional prior authorization or quantity limits that do not apply to the AlaskaCare retiree health plan. If you have questions about your prescriptions, you can call OptumRx toll-free at (855) 409-6999, TTY 711.
• Beginning January 1, 2019, prior authorization will be required for your medication to ensure appropriate use. Your doctor will also need to submit a request to OptumRx for any quantity of the medication that exceeds a set quantity limit.
  • This is inaccurate for most members. Some Medicare-eligible members may require prior authorization to determine if their medication will be paid by the EGWP or the wrap benefit; however, the letters sent erroneously by OptumRx reference additional prior authorization or quantity limits that do not apply to the AlaskaCare retiree health plan. If you have questions about your prescriptions, you can call OptumRx toll-free at (855) 409-6999, TTY 711.

OptumRx will send out a corrective notice to affected individuals. We apologize for any confusion this may cause.