In September 2020, members of the retiree class of the Manulife extended health care plan received Pay Direct Drug Cards for use effective September 1, 2020. Drug cards allow members to have their claims adjudicated at the pharmacy, without having to pay for eligible drug claims up front and being reimbursed after submitted claims are adjudicated. When using the drug card, members only need to pay the out of pocket expenses at time of sale. (Active teachers already have the Pay Direct Drug Card benefit.).