Article III - Benefits
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UMWA Health and Retirement Funds

Article III - Benefits

A. HEALTH BENEFITS
(4) PRESCRIPTION DRUGS
 
· Allergy medication, 93‑029
 
· Benefits excluded
     ‑‑medication dispensed by physician, 116, 81‑057
     ‑‑medication experimental in nature, 81‑504, 84‑123, 88‑445
     ‑‑medically reasonable and necessary, 88‑099, 88‑256, 88‑293, 93‑090CA-072, 11-0065
     ‑‑obesity treatment, 104, 296, 88‑293
 
· Dosage limits-override, 02-006 
 
· Estrogens/progestogens, 88‑202, 88‑445, 16-0001
 
· Formulary drug program with surcharge, 98-013, 98-014, 02-002, CA-056, 93-098, CA-07207-0050 
 
· Generic vs. brand name, 93‑079, 93-098, CA-072 
 
· Human growth hormone, 84‑041
 
· Infant formula, 126, 227, 84‑408
 
· Liquid nutrient, 88‑103, 88‑313
 
· Non‑prescription drugs/ over the counter, 81‑021, 81‑561, 84‑098, 84‑502, 84‑504, 11-0137
 
· Payment of initial prescriptions, 13
 
· Pregnancy /ovulation assisting medication, 93‑026
 
· Refills beyond the initial six month prescription, 88‑099
 
· Transdermal nicotine patches, 88‑578
 
· Viagra, CA-05598-024, CA-097