Pharmaceuticals is usually a essential a part of your well being care. When you’ve got a Medicare Benefit well being plan from Independence Blue Cross (Independence), we wish to be sure you perceive your choices for getting the drugs you want.
There are 4 necessary issues to know to profit from your prescription drug plan:
- When to make use of a most popular vs. a normal retail pharmacy
- use our mail-order pharmacy
- Ordering 90-day provides of your medicines
- How your drug formulary works
Utilizing a Most popular Retail Pharmacy
The place you fill your prescriptions can have an effect on the price of your drugs. We have now three forms of in-network pharmacies: most popular, normal, and mail-order. It can save you cash on Tier 1 and Tier 2 prescriptions through the use of a most popular retail or mail-order pharmacy.
Most popular retail pharmacies contract with Independence to supply decrease cost-sharing to our members. For 2021, these pharmacies embrace:
- CVS
- Large
- ShopRite
- Goal
- Walgreens
- Wegmans
- And a few unbiased pharmacies
Your plan additionally affords you the choice of utilizing a normal retail pharmacy, to offer the best degree of entry and comfort. In 2021, these pharmacies embrace:
- Acme
- Costco
- Ceremony Assist
- Sam’s Membership
- Walmart
- And a few unbiased pharmacies
Utilizing Our In-Community Mail-Order Pharmacy Service
We contract with a pharmacy profit supervisor, FutureScripts® Safe, to handle your Half D prescription drug protection. OptumRx House Supply is the pharmacy that FutureScripts makes use of to fill your mail-order drugs.
By way of FutureScripts, your prescriptions will be delivered proper to your door. You’ll additionally pay a decrease cost-share, serving to you save each money and time!
There are 3 ways to get began:
- Log in to ibx.com to switch a retail prescription utilizing our new prescription drug instruments.
- Name FutureScripts at 1-888-678-7015 (TTY/TDD: 711) 7 days every week, 24 hours a day, to seek out out in case your prescription is eligible for mail order. In that case, ask to have it modified from a retail pharmacy to mail order.
- For brand spanking new and/or refill drugs, ask your physician to ship your prescription to be crammed at OptumRx House Supply.
Ordering 90-Day Provides of Your Medicines
Once you fill a Tier 1 most popular generic or Tier 2 generic medicine at a most popular retail pharmacy or through our mail-order pharmacy, you will get a 90-day provide for a 60-day copay.
Along with saving you cash, this will additionally make it simpler to take your drugs as directed and keep wholesome.
Speak along with your physician about prescribing a 90-day provide of your medication.
Understanding Your Plan’s Drug Formulary
Your plan’s formulary, or checklist of coated medication, places every drug into one in every of 5 totally different cost-sharing tiers. The quantity you pay relies on which cost-sharing tier your medication is in. On the whole, tier 1 drugs have the bottom value, and Tier 5 drugs have the very best.
In some circumstances, there could also be a lower-tier different obtainable for a medication you’re taking. In that case, switching to a lower-tier different may doubtlessly prevent cash.
Our easy-to-use Value a Drug instrument means that you can test for lower-cost medicine choices earlier than you get your prescriptions crammed.
It is best to focus on any medicine change along with your physician.
We’re Right here To Assist
I hope this text has helped you perceive how one can profit from your plan’s prescription drug protection. However for those who ever have any questions on your medicine prices, or need assistance understanding your plan’s formulary, our Member Assist Crew is right here to help you. Simply name the quantity on the again of your member ID card.
Whether or not you might be trying to find lower-cost alternate options, signing up for mail order, or organising medicine reminders, our personalised instruments could make it simple to handle your prescription drug advantages. You may entry them by signing in at ibx.com/login and navigating to the Mail Order part.
Different pharmacies can be found in our community.
OptumRx is an Optum® firm — an unbiased firm that gives residence supply pharmacy companies.
FutureScripts® Safe is an unbiased firm that gives pharmacy profit administration companies.
Y0041_HM_103427_2021 web site final up to date 11/19/21
IBC11098 (10/21)
Independence Blue Cross affords Medicare Benefit plans with a Medicare contract. Enrollment in Independence Medicare Benefit plans relies on contract renewal. Independence Blue Cross affords merchandise by way of its subsidiaries Independence Hospital Indemnity Plan, Keystone Well being Plan East and QCC Insurance coverage Firm — unbiased licensees of the Blue Cross and Blue Protect Affiliation.