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

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.

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.

Prescriptions

Questions about your benefits?

Register your myHealthEZ account

Filling prescriptions:

Did You Know?