A prescription unit or refill is covered for up to a 30-day supply (or a 90-day supply of a generic drug at any participating retail pharmacy).For a complete list, refer to your handbook and commercial formulary document. Your Prescription Drug Benefit may be subject to limitations and exclusions. If you take long-term medications, you can fill your prescriptions through Express Scripts Home Delivery. If you take long-term medications, you can fill your prescriptions through Express Scripts Home Delivery or AllianceRx Walgreens Pharmacy.Ĭommercial and Marketplace members – Express Scripts Home Delivery is your new mail order pharmacy service offered through Capital Health Plan. Medicare members – Express Scripts Home Delivery and AllianceRx Walgreens Pharmacy are mail order pharmacy services offered through Capital Health Plan. Search for pharmacies throughout the nation using our online pharmacy database. Our pharmacy network includes thousands of pharmacies nationwide. The copayment amount is determined by the type of prescription drug dispensed. Find Medications Onlineįind medications online using this searchable online index to locate your prescriptions and your associated copayment. All formularies apply to benefit plans with a pharmacy benefit. The formulary publication is updated and posted monthly. If you are enrolled in one of our current plans, please visit the Medicare, Employer, or Individual and Family pages for specific information about your plan.After you register, you can check for drugs covered by your benefit, look up drug prices, search for a pharmacy near you, and view your pharmacy claim history and more.
You can register at the website to help you manage your prescription drug benefit offered through Prime Therapeutics. Important Message About What You Pay For Insulin - Medicare Members won’t pay more than $35 for a one month supply of each insulin product covered by your Part D Formulary, no matter what cost sharing tier it’s on.Ĭapital Health Plan utilizes Prime Therapeutics to administer our pharmacy benefits.Call Member Services for more information. Important Message About What You Pay For Vaccines - Our plan covers most Medicare Part D vaccines at no cost to you.
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The drug formulary is selected by Capital Health Plan in consultation with a team of health care providers. Your drug formulary lists all drugs your plan overs, plus any special rules you'll need to follow with certain medications. A drug formulary is a list of covered drugs that represents the prescription therapies believed to be a necessary part of a quality treatment program.
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