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 1-844-449-5538

Questions about your benefits?

service@healthez.com

Register your myHealthEZ account

>>Click here

Prime Therapeutics is your pharmacy benefit manager (PBM).

Visit the Prime Therapeutics website here.

Filling Prescriptions

When filling prescriptions, bring your HealthEZ ID card with you to ensure the pharmacy has current coverage information. Your pharmacy information is listed on the back of your medical ID card.

For more information regarding your services, coverage, drug interactions and education about specific drugs, please visit Prime Therapeutics’ member login page. 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 855-457-0007. They can assist with all pharmacy and prescription questions, including:

  • Pharmacy charging incorrect prices
  • Prescription pending prior authorization
  • Checking coverage for medications, including weight management
  • Drug Interactions

 

To review your prescription formulary with Prime Therapeutics, click here.  

Pharmacy Benefit Information
 
Home Delivery Flyer Provides an overview of home delivery with Prime Therapeutics Pharmacy
PrimeCentral App Information Provides information on Prime Therapeutics Mobile App
Member Portal Guide Additional information on using Prime Therapeutics' member portal
Accord Quick Reference Guide Provides an overview of Accord, a quick formulary reference guide
Care Specialists Provides information on Care Specialists program for specialty medication
Specialty Pharmacy Overview Additional information on Prime Therapeutics Specialty Pharmacy
Understanding Prior Authorization Provides an overview of the Prior Authorization (PA) process
Understanding Pharmacy Benefits Provides an introduction of Prime Therapeutics
Step Therapy Overview Provides an overview of the Step Therapy process
Select Savings Overview Provides information on ways to save on Specialty Medicines
Affordable Care Act (ACA) Preventive Drug List Accord™ Formulary A document showing the HSA Preventive Drug List Accord™ Formulary
HSA Preventive Drug List Accord™ Formulary A document showing the HSA Preventive Drug List Accord™ Formulary
Prescription Drug Coverage
 
Retail
30 Day Suppy		 Mail Order
90 Day Supply
MEC Preventive
Preventive 100% Covered Not available
Generic Not available Not available
Preferred Brand Not available Not available
Non-preferred brand Not available Not available
Specialty Not available Not available
MEC Plus Plan
Generic - 15 script limit per year $5 Copay $12.50 Copay
Preferred Brand- 15 script limit per year $40 Copay $100 Copay
Non-Preferred Brand Not available Not available
Specialty Not available Not available
**15 combined prescription limit per year including retail and mail.
ACP Plan
Generic 0%* 0%*
Preferred Brand 0%* 0%*
Non-Preferred Brand 0%* 0%*
Specialty 0%* Not available
*After deductible
PPO Plan
Generic $5 Copay $45 Copay
Preferred Brand $35 Copay $105 Copay
Non-Preferred Brand $50 Copay $150 Copay
Specialty 20% Coinsurance up to $300 Not available
HDHP
Generic 0%* 0%*
Preferred Brand 0%* 0%*
Non-preferred brand 0%* 0%*
Specialty 0%* Not available
*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.

RxSaver.com
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