For ILWU members at the Ka’anapali Beach Hotel, the Hyatt Regency Maui, the Hilton Waikoloa Village on the Big Island, the Grand Hyatt Kauai, Four Seasons Resorts Lanai and Castle & Cooke Resorts Lanai.
There are several ways to fill your prescriptions under the ILWU Health & Welfare medical plan.
Short-Term Prescriptions
Short-term prescriptions are for an illness or injury and is usually for less than 15-days. Examples of such prescriptions are pain killers for an injury or antibiotics for an infection.
Any licensed pharmacy
You can go to any pharmacy and pay the full cost. You must then submit a claim for reimbursement. The plan will pay the eligible charge, minus $3.00 for generic or $9.00 for brand name up to a 15- day supply only. You must send your receipt and claim form to Catalyst Rx (Direct Member Reimbursement P.O. Box 100759 Ft. Lauderdale, FL 33310) within 90 days. Remember to keep copies for yourself. You would end up paying any amount over the eligible charge, plus $3.00 for generic drugs or $9.00 for brand name drugs.
Any Participating pharmacy
You can go to any Participating pharmacy for a 15-day supply of generic drugs for $6.00 or brand name drugs for $12.00. On the Big Island, it would be the same $6.00 for generics and $12.00 for brand name for up to a 21-day supply. Call the HMA Office at 1(866) 377-3977 or call Catalyst Rx (open 24/7) at 1(888) 869-4600 for a list of participating pharmacies on your island.
Long-Term Prescriptions
Long term prescriptions are taken daily or regularly. They are often referred as maintenance medications, or medications being taken to maintain your health. Examples of such prescriptions are medication to control high blood pressure or diabetes.
The first time you fill a long-term prescription, it will be for only a 15-day supply and will cost $6.00 for generics and $12.00 for name brands. This initial fill is for a 15- day supply because the first 15 days on a new prescription referred to as the trial period. Should the medication have ill side effects, bad reaction, no effect, etc., the prescribing physician can change the prescription to meet your needs within the first 15 days of being on the medication. After the 15-days, your refills would be for a 60-day supply.
Mail order through Longs Drugs
A 60-day supply for generic drugs is $8.00 and a 60-day supply of brand name drugs is $24.00 can be mailed directly to your home from Longs Mail order facility on Oahu. You should allow at least 7 working days for your first order and 4 working days for a refill.
Central Fill pharmacy
You can fill your prescription at any Longs Drugs on Maui and Kauai or Straub Clinic on Lanai or Times Supermarket on Oahu. A 60- day supply for generic drugs is $8.00 and brand name drugs is $24.00.
Big Island
There is no Central Fill pharmacy for the Big Island at this time. Members on the Big Island can go to any Participating pharmacy. A 30-day supply for generic drugs is $7.00 and a 30-day supply of brand name drugs is $14.00. A 21-day supply for generic drugs is $6.00 and a 21-day supply of brand name drugs is $12.00. The option for a 30-day supply was phased out in January 2006.
Kaiser Plan Members
Members with the Kaiser plan must fill their prescriptions in a Kaiser pharmacy or by mail order from a Kaiser pharmacy. A 30-day prescription at a Kaiser pharmacy is $12. It is $24 by mail order for a 90-day prescription (which comes out to $8 for each 30-day prescription). Kaiser members should contact Kaiser directly for questions about their drug benefits. Call 24 hours - 1(800) 966-5955. ◆
This article is for informational purposes and is only a summary of some of the drug benefits and coverage. Please call the ILWU Local 142 Health and Welfare Trust Office or HMA at 1(866) 377- 3977 for specific questions about your drug plan benefits.
