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STATE OF CONNECTICUT PHARMACY BENEFIT PLAN PLAN DOCUMENT Restated as of July 1, 2014 TABLE OF CONTENTS
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Document Date: 2014-08-25 11:36:53


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File Size: 667,55 KB

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City

Hartford / /

Company

SilverScript Insurance Company / Plan Sponsor / CVS/Caremark / /

Currency

USD / /

Event

Business Partnership / /

Facility

PHARMACY BENEFIT PLAN PLAN DOCUMENT Restated / Pharmacy Benefit Plan / Participating Pharmacy / Participating Retail Pharmacy / FACILITY OF PAYMENT / /

IndustryTerm

claims processing / retail pharmacy / retail / day Web-site Address / /

MedicalCondition

Hypertension / COPD / Diabetes / Hyperlipidemia / heart failure / Heart Failure/Heart Disease / Asthma/COPD / Asthma / /

Organization

CONNECTICUT DEPARTMENT OF INSURANCE / State Comptroller Healthcare Policy & Benefit Services Division / Connecticut Health Benefit Plan c/o office of the State Comptroller Healthcare Policy / Caremark’s Mail Order Service / Mail Order Service / Maintenance Drug Network Service / State of Connecticut Pharmacy Benefit Plan / Medicare / /

/

Position

COB / administrator for this Pharmacy Benefit Plan / /

Product

Maintenance Medication / Maintenance Prescription Drug / PRESCRIPTION DRUG / Covered Drug / /

ProvinceOrState

Connecticut / /

Technology

http / /

URL

stateofconnecticut.silverscript.com / www.caremark.com / /

SocialTag