Prescription Drug Coverage

When you choose one of the McLeod medical plan options, you automatically receive prescription drug coverage.

Benefits through the Core and Enhanced Medical Plans offer pharmacy coverage with the convenience of copays without having to meet an annual deductible if you use the McLeod Choice Pharmacy. With the HDHP plan, your medical and pharmacy annual deductibles and out-of-pocket maximums are combined. Out-of-network providers are not covered.

Refill Prescriptions Easily With The Pharmacy App

McLeod Choice Pharmacy

The McLeod Choice Pharmacy Florence app makes it easier than ever to refill prescriptions. It is also fast and secure.

SEARCH: McLeod Choice RX
- App Store
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McLeod Choice Pharmacy

The McLeod Choice Pharmacy has convenient locations at the Florence and Seacoast campuses. The Florence Pharmacy offers delivery to our other campuses in Loris, Dillon, Carolina Forest, Clarendon and Cheraw. Our knowledgeable pharmacists and staff provide free patient consultations, answer questions, address concerns and provide important facts about your medications. The McLeod Choice Pharmacy in Florence also offers compounding for prescriptions that require a personal or specialized touch.

The McLeod Choice Pharmacies accept most major insurance providers including Medicare Part D, and employees have a variety of payment options including payroll deduction. McLeod Choice Pharmacy in Florence and Seacoast offer a large selection of over-the-counter products. The hours of our locations vary, so check with your local pharmacy site for current hours. Early evening hours are available at the McLeod Choice Pharmacy Florence location and both offer Saturday morning hours.

To download the pharmacy prescription delivery form, click here.

Pharmacy Network

The McLeod Health Plan uses the Advanced Choice pharmacy network. This network offers access to a wide variety of pharmacy options, including McLeod Choice Pharmacy, Florence, and Seacoast locations; all CVS, Walmart, Walgreens, and Kroger pharmacy locations, plus many grocers and independent pharmacies.

Contraceptive Coverage

In accordance with the Affordable Care Act, McLeod covers certain generic contraceptives at no charge (copay or deductibles) for employees and dependents covered under a McLeod Medical Plan through the McLeod Choice Pharmacy.

Maintenance Drug Mail Order Service

For mail order, call the McLeod Choice Pharmacy Florence at 843-777-3864 or Toll Free 888-810-2267 (option 3) or visit www.mcleodchoicepharmacy.org.

Medication Synchronization

Medication Synchronization (MedSync) is the process of coordinating refills to be processed on the same day each month. This eliminates multiple trips to the pharmacy or multiple delivery charges for mail order packages. For more information, or to enroll, please contact McLeod Pharmacy at 843-777-3864.

For mail order, call the McLeod Choice Pharmacy Florence at 843-777-3864 or Toll Free 888-810-2267 (option 3) or visit www.mcleodchoicepharmacy.org.

Cost-Savings Through Step Therapy

The Step Therapy Program is designed to encourage cost-savings by promoting generic drug use and providing consumer education. When you fill your prescription, you will automatically receive the generic equivalent of the medication, if it is available.

If your history shows that the generic drug was previously dispensed and your physician has completed and received approval through the Medication Prior Authorization process, the brand or higher cost medication can be dispensed.

Not all medications are included in the Step Therapy Program. For specific information on your prescription benefit, contact the McLeod Choice Pharmacy at 843-777-2166 or Seacoast Choice Pharmacy at 843-366-3107.

For more information about prescription drugs, go to www.southcarolinablues.com.

Plan Provisions	Core Plan			Enhanced Plan			HDHP Plan
Plan Provisions	BCBS Network (TIER 2)	McLeod Network (TIER 1)		BCBS Network (TIER 2)	McLeod Network (TIER 1)		BCBS Network (TIER 2)	McLeod Network (TIER 1)
Annual pharmacy deductible	$200 deductible per member	No deductible		$200 deductible per member	No deductible		Medical and pharmacy annual deductibles are combined.
Maximum days supplied	30 days	30 days	90 days	30 days	30 days	90 days	30 days	30 days	90 days
Generic	$15 after pharmacy deductible	$5	$10	$15 after pharmacy deductible	$5	$10	$15 after deductible	$5 after deductible	$10 after deductible
Preferred brand	$50 after pharmacy deductible	$35	$70	$50 after pharmacy deductible	$35	$70	70% after deductible; $80 max	80% after deductible; $60 max	80% after deductible; $120 max
Non-preferred brand	$80 after pharmacy deductible	$60	$120	$80 after pharmacy deductible	$60	$120	50% after deductible	60% after deductible; $100 max	60% after deductible; $200 max
Specialty	Not Covered	80%; $250 max	80%; $500 max	Not Covered	80%; $250 max	80%; $500 max covered	Not Covered	80% after deductible; $250 max	80% after deductible; $500 max

Plan Provisions	Core Plan			Enhanced Plan			HDHP Plan
Plan Provisions	BCBS Network (TIER 2)	McLeod Network (TIER 1)		BCBS Network (TIER 2)	McLeod Network (TIER 1)		BCBS Network (TIER 2)	McLeod Network (TIER 1)
Annual pharmacy deductible	$200 deductible per member	No deductible		$200 deductible per member	No deductible		Medical and pharmacy annual deductibles are combined.
Maximum days supplied	30 days	30 days	90 days	30 days	30 days	90 days	30 days	30 days	90 days
Generic	$15 after pharmacy deductible	$5	$10	$15 after pharmacy deductible	$5	$10	$15 after deductible	$5 after deductible	$10 after deductible
Preferred brand	$50 after pharmacy deductible	$35	$70	$50 after pharmacy deductible	$35	$70	70% after deductible; $80 max	80% after deductible; $60 max	80% after deductible; $120 max
Non-preferred brand	$80 after pharmacy deductible	$60	$120	$80 after pharmacy deductible	$60	$120	50% after deductible	60% after deductible; $100 max	60% after deductible; $200 max
Specialty	Not Covered	80%; $250 max	80%; $500 max	Not Covered	80%; $250 max	80%; $500 max covered	Not Covered	80% after deductible; $250 max	80% after deductible; $500 max

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McLeod Choice Pharmacy