“PICA” Drug Program

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Effective July 1, 2005, all covered members and non-Medicare retirees (under age 65) who have elected a City-provided health plan are covered by the PICA program. Covered members who are not covered by a City provided health plan —either as the subscriber or as a spouse or domestic partner of a subscriber— are not eligible for the PICA program. Such covered members are therefore urged to enroll in a City-provided health plan as soon as possible. The PICA program covers medications in two specific drug categories: Injectables and Chemotherapy. Under the PICA program you can obtain up to a 30-day supply of drugs at your local pharmacy. Refills for PICA drugs are available as prescribed for up to one year from the date of the original prescription. All covered members will receive a separate prescription drug card for this program, issued by the PICA program prescription beenfit manager.This is the only card you will need to obtain any of the PICA drugs. Diabetic medications continue to be covered by your basic health plan. If you have any questions concerning the PICA program, you can contact the prescription benefit manager’s customer service department at 1.800.467.2006 or visit their website at www.esi.com.The PICA program drug listing will appear on the prescription benefit manager’s website. Questions about mail order should be directed to the mail order pharmacy at 1.800.628.0717. Don’t forget.The benefits of the PICA Program are available only to individuals enrolled in a city-provided health plan.

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