PRESCRIPTION DRUG
Your prescription drug benefits will now be offered through RxBenefits.
The following Prescription Drug (Rx) information applies to ALL medical plans
PRESCRIPTION DRUG
Pharmacy benefits will be administered by RxBenefits in partnership with Optum under all medical plans. The RxBenefits service model delivers enhanced safety, better cost savings, and top-notch customer service.
With Optum, you’ll have access to a massive network of thousands of pharmacies nationwide.
WHO IS RXBENEFITS?
RxBenefits is your Pharmacy Benefits Optimizer. RxBenefits has partnered with Optum to bring you greater discounts, better access, and improved member services.
RxBenefits Member Services representatives have access to the same system utilized by Optum and are equipped to help you, your physician, and your pharmacy with questions such as:
- "What medications are covered under my plan?"
- "Where is the closest in-network pharmacy?"
- "My claim had an issue at the pharmacy, what do I do?"
- "What are the next steps if my medication is requiring a prior authorization?"
- "How can I sign up for mail order?"
Contact the RxBenefits Member Services Team 8am-9pm ET, Monday-Friday at:
1.800.334.8134
RxHelp@rxbenefits.com
PRIOR AUTHOROIZATIONS
When you try to fill a prescription for certain medicines, your pharmacist may tell you it requires a PA. That means we need more information to make sure the medication is being prescribed in accordance with FDA guidelines and clinical best practices, and will work well for you and your condition before your pharmacy benefits covers it. Your prescriber has access to the required information to submit a PA request. Your prescriber can choose to switch to another medication that does not need a PA or an over-the-counter alternative. If they do not want to switch your medication, their office will need to initiate a PA.
