Prescription Benefit for Licensed Practical Nurses Welfare Fund Members

Members and their eligible dependents can receive preferred drugs at no cost when using a Fund’s participating pharmacy. If you use a non-participating pharmacy, you may be charged the amount the pharmacy bills above the Fund’s payment. Specialty drugs are available through the NYC PICA program and through the Fund’s prescription drug benefit.

Have your doctor prescribe generic and brand name drugs on the 1199SEIU Preferred Drug List (PDL). Share this list with your doctor, and work together to find the best covered option for you.

Please note that prior approval is required for certain medications. Certain medications are also subject to clinical program management.

Who Is Eligible?

Full-time and part-time members and their eligible family members are covered. For more information about your prescription drug coverage, please call our Member Services Department at (646) 473-9200.

Additional Resources

• Express Scripts Basic Formulary for the NYC PICA Plan
• Summary Plan Description (SPD)
• Overview
• Prescription Drug Reimbursement Form (Direct Claim Form)
• Summary of Benefits and Coverage (SBC)
• Pharmacist Authority to Administer Vaccines by State