'Medicare-Approved' cards available soon

Apr 14 2004

Beginning in June 2004, the Medicare discount card program will provide America's seniors and disabled Medicare beneficiaries with much-needed discounts and information on their prescription drugs. The purchasing power behind the Medicare population is expected to save beneficiaries an average of 10 to 25 percent off the retail price of most drugs.

This voluntary drug card program is not a drug benefit, but it is an important first step. The drug card program begins this year and will end when Medicare implements a new, permanent prescription drug benefit in 2006.

All Medicare beneficiaries, except those who already have their medicines paid for by Medicaid, will be eligible to enroll in a discount drug card program. Beneficiaries will have a choice of at least two Medicare-endorsed cards, but will be allowed to enroll in only one drug card at a time. Card sponsors can be Pharmacy Benefit Managers (PBMs), wholesalers, retail pharmacies, insurers, or Medicare Advantage plans.

No card sponsors will be permitted to offer a mail-order only program. Participating beneficiaries can continue to get the help they need from the community pharmacists they trust, as all endorsed cards must include an extensive national or regional network of retail pharmacies.

Drug card sponsors will be required to provide information to beneficiaries on the enrollment fee, which cannot be more than $30 per year, and to publish discount prices for prescription drugs. This will encourage price competition and simplify the prescription drug-buying decisions of seniors and people with disabilities. Medicare also will provide reliable, easy-to-compare information that will allow beneficiaries to choose the discount card program that best meets their needs. Example: Beneficiary A needs to fill a prescription for Lipitor. In 2002, an estimated retail price for 30 tablets of Lipitor (20 mg) was $108.65.

For beneficiaries, the Act could mean a savings of nearly $22 a month off the retail price, and eligible low-income seniors could be eligible for additional assistance. This example is based on a 20 percent discount off the retail price. Information about the prescription drug discount card is available at 1-800-MEDICARE (1-800-633-4227) and, for hearing and speech impaired, at TTY/TDD: 1-877-486-2048. First Coast Service Options, Inc. (FCSO) contracts with the Centers for Medicare & Medicaid Services (CMS) and the Blue Cross and Blue Shield Association (BCBSA) to administer the Medicare Program in Florida and Connecticut. FCSO's parent company, Blue Cross and Blue Shield of Florida, Inc. (BCBSF), is an independent licensee of the BCBSA.