The prescription drug program covers the following:

• Covered Prescription Drugs are those medicinal substances that require, by law, a prescription which authorizes the dispensing of such substances from a pharmacist to a patient. These prescriptions can only be filled by a licensed pharmacist.
• Any legend drug requiring a prescription from a phsyician or dentist (“legend drug” means any drug or medicine on which the label has the legend: “Caution: Federal Law prohibits dispensing without a prescription.”)
• In addition, some drugs, commonly referred to as “Over the Counter” (OTC) medications that normally do not require a prescription, may be covered if they are prescribed in writing by a doctor. The following is a listing of these types of drugs and/or medications that are covered by the plan:
  1. Diabetic supplies including insulin, syringes, needles, test tapes or strips, acetone test tablets, Benedict’s solution or equivalent, lancets or similar test supplies.
  2. Compound dermatological preparations, ointments, lotions or creams prepared by a pharmacist under a prescription.
  3. Antacids including aluminum hydroxide, aluminum hydroxide with magnesium trisilicate, aluminum and magnesium hydroxide gel, calcium carbonate, magnesium carbonate suspension and dihydroxy-aluminum amino acetate.
  4. Eye and ear medications requiring a prescription.
  5. Fluorides requiring a prescription.
  6. Miscellaneous: elixir terpin hydrate, N.F.; epinephrine USP; ephedrine sulfate 25 mg. (3/8 gm); ferrous sulfate USP and other cough medications requiring a prescription.
  7. Injectable drugs.