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 844-660-2444

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 855-457-0007.

Visit the Prime Therapeutics website here.

Prescription Drug Coverage
 
Retail
30 Day Suppy
Mail Order
90 Day Supply
America's PPO Copay Plan
Generic $12 Copay $24 Copay
Preferred Brand $50 Copay $100 Copay
Non-Preferred Brand $90 Copay $180 Copay
Specialty Not Covered Not Covered
America's PPO 0% Coinsurance Plan
Generic 0%* 0%*
Preferred Brand 0%* 0%*
Non-Preferred Brand 0%* 0%*
Specialty Not Covered Not Covered
* Coinsurance After Deductible
America's PPO 25% Coinsurance Plan
Generic 25%* 25%*
Preferred Brand 25%* 25%*
Non-Preferred Brand 45%* 45%*
Specialty Not Covered Not Covered
* Coinsurance After Deductible
America's PPO Elite Copay Plan
Generic $12 Copay $24 Copay
Preferred Brand $50 Copay $100 Copay
Non-Preferred Brand $90 Copay $180 Copay
Specialty Not Covered Not Covered
America's PPO Elite 0% Coinsurance Plan
Generic 0%* 0%*
Preferred Brand 0%* 0%*
Non-Preferred Brand 0%* 0%*
Specialty Not Covered Not Covered
* Coinsurance After Deductible
America's PPO Elite 25% Coinsurance Plan
Generic 25%* 25%*
Preferred Brand 25%* 25%*
Non-Preferred Brand 45%* 45%*
Specialty Not Covered Not Covered
* Coinsurance 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.