Prescriptions

Have questions about your prescription coverage?

Learn about your benefits, costs, formulary lists and any coverage restrictions by contacting your Pharmacy Benefit Manager (PBM) listed below.

If you prefer talking with a HealthEZ representative, call 888-592-6339

Filling prescriptions:

Prime Therapeutics is your pharmacy benefit manager (PBM).

Your pharmacy information is listed on the back of your medical ID card.

Bring your HealthEZ ID card with you when filling all prescriptions to be sure the pharmacy has current coverage information.

 

For more information regarding your services, coverage, drug interactions and education about specific drugs, please visit Member Login Page | Prime Therapeutics Management. Use the member number on your health plan ID card to register an account or login.

 

Contact Prime Therapeutics:

To speak to Prime Therapeutics Member Services, please call 800-424-0472.

Visit the Prime Therapeutics website here.

Select Drugs and Products Program
 
Select Drugs and Products Program Overview Provides a high level overview of the program, and instructions on enrolling
Select Drugs and Products List Drugs and Products covered under the Paydhealth Select Drugs and Products Program.
Prescription Drug Coverage
 
Retail
30 Day Suppy
Mail Order
90 Day Supply
HDHP Plan
Generic $15 Copay* $30 Copay*
Preferred Brand $25 Copay* $50 Copay*
Non-Preferred Brand 25%* 25%*
Specialty 50%* Not Available
* After deductible
Benchmark Plan
Generic $15 Copay $30 Copay
Preferred Brand $25 Copay $50 Copay
Non-Preferred Brand 25% Coinsurance 25% Coinsurance
Specialty 50% Coinsurance Not available
Minimum Essential Coverage Plan
Preventive Prescription Drug Coverage 100% Covered No Coverage
Generic No Coverage No Coverage
Preferred brand No Coverage No Coverage
Non-preferred brand No Coverage No Coverage
Specialty No Coverage No Coverage

Did You Know?

Did you know there are coupon and price comparison sites for prescriptions?

Check out these sites and see if you are paying too much.