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 1-844-288-5703

Filling prescriptions.

MagellanRx is your pharmacy benefit manager (PBM). Please use the member number on your health plan ID card to register. Once you do, you’ll be able to fill prescriptions, find a pharmacy and handle many other prescription related needs.

You’ll also be able to get information about:

services

MagellanRx
Drug interactions
Patient education about specific drugs

To speak to a MagellanRx Customer Care Representative, please call
1-800-424-5828.

Prescription Drug Coverage

	Retail 30 Day Suppy	Mail Order 90 Day Supply
$500 Copay Plan
Generic	$5 Copay	$10 Copay
Preferred Brand	$15 Copay	$30 Copay
Non-Preferred Brand	$30 Copay	$60 Copay
Specialty	25% Coinsurance*	Not Available
NOTE: *After Deductible
$1,000 Copay Plan
Generic	$5 Copay	$10 Copay
Preferred Brand	$25 Copay	$50 Copay
Non-Preferred Brand	$45 Copay	$90 Copay
Specialty	25% Coinsurance*	Not Available
NOTE: *After Deductible
$1,500 HSA Plan
Generic	20% Coinsurance*	20% Coinsurance*
Preferred Brand	20% Coinsurance*	20% Coinsurance*
Non-Preferred Brand	20% Coinsurance*	20% Coinsurance*
Specialty	20% Coinsurance*	Not Available
NOTE: *After Deductible
$2,800 HSA Plan
Generic	20% Coinsurance*	20% Coinsurance*
Preferred Brand	20% Coinsurance*	20% Coinsurance*
Non-Preferred Brand	20% Coinsurance*	20% Coinsurance*
Specialty	20% Coinsurance*	Not Available
NOTE: *After Deductible

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.