Cc/prescription Price Quote Form

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CC/LDI PHARMACY BENEFIT MANAGEMENT
Prescription Discount Card Program
Catholic Charities of Saint Louis
LDI integrated pharmacy services
4532 Lindell Boulevard
680 Craig Road, Suite 200
St. Louis, MO 63108
Creve Coeur, MO 63141
Thank you for requesting information about the CC/LDI integrated pharmacy services prescription Discount Card
Program.
Enclosed is a packet of information about the program including an application for enrollment. When
you decide to enroll, please fill out the Enrollment Application and your annual enrollment fee of $15.00
(per person). Please make check or money order payable to LDI integrated pharmacy services and mail
along with the enrollment form to:
CC/LDI integrated pharmacy services
680 Craig Road, Suite 200
Creve Coeur, MO 64131
Upon receipt of your enrollment form and fee, you will receive a prescription identification card from
LDI integrated pharmacy services. Present this card to your pharmacist to receive discounts on your
prescriptions. Those prescriptions classified as acute/emergency and maintenance can be filled at most
retail pharmacies such as Walgreen’s, Wal-Mart, Schnucks, and other participating retail pharmacies.
Acute/emergency medications are those prescribed for a short period of time such as antibiotics,
seasonal allergies, etc. Maintenance medications are those taken on a regular basis for chronic
conditions such as heart, high blood pressure, diabetes, etc.
Should you decide to use the LDI mail order pharmacy service, we will mail your prescriptions
directly to your home. There is a delivery service charge.
All medications are mailed in plain unmarked packages for precaution and safety.
If you prefer, you can also bring your prescriptions into LDI's pharmacy and have your
prescriptions filled while you wait. Either way, you will receive the same discount and service as you do
with the mail order service.
If you are undecided about using the LDI mail order program, please use the attached CC/LDI
Prescription Price Form and tell us the name, strength, quantity and days supply of the medications you
are currently taking. LDI's pharmacy will fill in LDI’s price and return to you for you to
compare. This will assist you in deciding whether to take advantage of LDI’s mail-order program or to
stay with your current pharmacy.
If your doctor prescribes a maintenance medication for a chronic condition and you wish to have it filled
immediately, you can take the prescription(s) directly to any participating retail pharmacy for filling.
When you are ready to refill the prescription, simply call LDI's pharmacy, give them the
information on the prescription label, and they will take care of having the prescription transferred to LDI's
pharmacy and sent out by mail directly to you.
Thank you for your interest in CC/LDI Pharmacy Benefit Discount Card Program. If you have any
questions, please call LDI integrated pharmacy services at (314) 652-3121 or toll-free from outside the
314 area code at (800) 652-9550.

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