Pharmacy plan

Preventive prescriptions

Some preventive prescriptions will be covered at 100% for the Triple Choice Plan. The HSA will have a copay associated with preventive drugs. Visit MedImpact for details. 

Limited prescription drug coverage

Prescription drug coverage will generally be limited to medications that do not have an equally effective over-the-counter substitute. If traveling outside of the U.S., pharmacy benefit coverage applies only to emergencies on a reimbursement basis.

Noncovered drugs 

Certain medications are not covered as part of the plan. If you find such a drug has been prescribed for you, discuss alternative treatment with your doctor. 

Formulary 

The formulary is the list of medications chosen by a committee of doctors and pharmacists to help you maximize the value of your prescription benefit. Formulary changes can occur during the plan year. Medications that no longer offer the best therapeutic value are deleted from the formulary. Ask your pharmacist to verify the current copay amount when your prescription is filled. Sharing this information with your doctor helps ensure you get the best value, which saves you and your plan money.

• Preferred Drug List has commonly prescribed medications within select classes of drugs covered on your formulary. The formulary is updated regularly and is subject to change without advance notice.
• Specialty Drug List is monitored to ensure that employees receive the most clinically effective medications at the lowest cost. The Specialty Drug List is updated regularly and is subject to change without advance notice. All Specialty Drug List medications are provided through a MedImpact Direct Specialty network pharmacy. Members may enroll in services by calling 877-391-1103.
• Essential Health Benefits List, ACA is in compliance with healthcare reform requirements under the Affordable Care Act, certain preventive medications are covered at zero-copay under the pharmacy benefit as needed. State-specific requirements may vary.
• HSA Safe Harbor Preventive Drug List is prescribed for people who are at risk for certain diseases but not yet showing signs and symptoms. These are used to prevent a disease or condition, a complication from a disease, or prevent a recurrence of a condition. These drugs are typically not used to treat an existing illness. You will not pay the full cost of these drugs and the copays will not accumulate to meet the HSA deductible. Only the normal flat dollar copay will apply to these drugs as shown in the list.

Medication prior authorization may require clinical approval before it can be filled, even with a valid prescription. These prescriptions may be limited to quantity, frequency, dosage or may have age restrictions. The authorization process may be initiated by you, your local pharmacy, or your physician by calling MedImpact at 888-648-6769. 

Step therapy program promotes the use of safe, cost-effective and clinically appropriate medications. Members use generic, alternative medication that is safe and equally effective before a brand-name medication is covered. Refer to the Formulary Lookup in the MedImpact member portal for a complete list of drugs under this program.

MedImpact member portal benefits

• Determine drug coverage and obtain a cost estimate for a selected medication. 
• Find a pharmacy without registration. Select General Pharmacy Locator. 
• Health tips plus info on diseases and health conditions. 
• Personal Health Rx® – Print your prescription history for a physician visit or tax reporting. 
• Pharmacy locator – Find a participating pharmacy near you. 
• Research more than17,000 medications. 
• View your current copayment amounts and other pharmacy benefit considerations.