Prescription Drug Benefit

Looking for a dose of information about your pharmacy benefits? This section is just what the doctor ordered. Check out these online resources to help you to get your medication quickly and at the lowest cost using left side menu.

PEHP provides coverage for prescription drugs and injectable medications through our pharmacy network. PEHP offers coverage for blood pressure medications, birth control pills, insulin, diabetic supplies and almost all other prescription drugs through our Preferred Drug List.

The Preferred Drug List is a listing of prescription medications that have been chosen by PEHP's Pharmacy and Therapeutics Committee ( a team of physicians, nurses and pharmacists from the intermountain area). They choose medications that provide the best overall value based on quality, safety, effectiveness and cost. The Preferred Drug List can be modified periodically with changes based on the Pharmacy and Therapeutics Committee's recommendations. The pharmacy benefit is categorized into four copayment tiers:

• Tier 1: Preferred generic medications that are available at the lowest copayment
• Tier 2: Preferred brand name medications that are available at a median copayment
• Tier 3: Non-preferred medications that are available at the highest copayment
• Tier 4: Specialty and injectable drugs at the benefit described in your benefit summary

Ask your physician to refer to the The Preferred Drug List when he/she is choosing a prescription medication. Choosing a preferred generic or brand name drug will ensure the lowest possible copayment.

Also you can create an account with Medco (www.medco.com), PEHP’s pharmacy benefit manager, and get customized information about your drug benefits.
You’ll be able to:

• Check prices.
• Check an order status.
• Locate a pharmacy.
• Refill or renew a prescription.
• Get mail-order instructions.
• Find detailed information specific to your plan, such as drug coverage, copayments, cost-saving alternatives.
• Sign up for a temporary prescription card or get a new one.