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Health Plan Pharmacy Changes

Beginning April 1st, the City has a new Pharmacy Benefit Manager (PBM). The switch to WHI (Walgreens Health Initiatives) from NMHCRx brings a new option that many have been looking forward to.

WHI has an additional program called Advantage 90 for employees who purchase maintenance drugs ( prescriptions purchased for 3 months at a time ). In addition to mail order, employees may now purchase their maintenance drugs at certain local pharmacies who participate in the WHI Advantage 90 Network. Currently, the Advantage 90 Network includes:

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Stewarts

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Reams

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Walgreens

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CVS

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Kroger

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K-Mart

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Wal-Mart

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Food City

It is important to understand that there are two WHI pharmacy networks:

1. The smaller WHI Advantage 90 Network and

2. The larger WHI Preferred Network.

Shorter term prescriptions, such as for antibiotics, may be purchased at almost any local pharmacy. The WHI Preferred Network is very large, including all but one or two pharmacies within Sevier County and the surrounding area.

The change to WHI is also expected to bring improved customer service to our plan members and provide greater overall value to the City’s self-funded health plan.

FORMULARY CHANGES

Although the City of Sevierville Employee Health Plan has the same pharmacy benefits as before ( 3 tier structure and co-payments remain the same) there are changes in the formulary (list of drugs by tier). WHI’s formulary is different from NMHCRx. All pharmacy benefit managers have different formularies.

We have been having employee meetings to help plan members understand the formulary differences:

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Generic drugs are always tier 1.

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Some tier 3 drugs are now tier 2.

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Some tier 2 drugs are now tier 3.

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There are reasonable ways to handle these changes.

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We want to help you with any issues.

If you take maintenance drugs, it is important that you know if your medications have been impacted. We have been having employee meetings to help members navigate through this change without any negative financial impact. WHI is also sending a letter to each member who has formulary disruptions. The letter will provide members with generic and preferred name brand options to their 3rd tier drugs.

Please feel free to contact Jamie Tyler, Risk Manager, or Kristi Inman, Human Resources Manager, at City Hall with any questions. The WHI website, www.mywhi.com and WHI Customer Care 800-207-2568 are also helpful resources.

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Direct Deposit

Direct Deposit is available now! Sign-up now for this great employee benefit.

bulletDirectly Deposit you paycheck in the bank of your choice.
bulletFunds are available as soon as your bank opens on Thursday mornings.
bulletAvailable to full & part time employees.
bulletConvenient, effortless and time-saving.

Contact Kristal Rolen to sign up or for more information. 

AUTHORIZATION AGREEMENT FOR DIRECT PAYMENTS (ACH DEBITS)

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Stormwater Hotline Available

The cities of Sevierville, Pigeon Forge and Gatlinburg have established a Stormwater Hotline for citizens. The hotline has been created as a means for citizens to convey any concerns or problems regarding stormwater, such as erosion control, flooding, and construction site runoff. To access the hotline, call 429.4882. To leave a message for the City of Sevierville, choose extension 1.

For additional information on Sevierville’s stormwater program, call Frank Cravens at 453.5504.

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Revised: 09/29/09.