Office of Human Resources - Benefits Design & Management

PHARMACY

MedImpact Personalized prescription history, drug information and rates can be found at MedImpact Online. CUSTOMER SERVICE 1.888.648.6769

MedImpact is the pharmacy provider for all Benefit Options medical networks. It is a large, national network of pharmacies in most drugstores, supermarkets and discount stores.
Find participating pharmacies online.

MAIL ORDER PHARMACY

Use this service for money-saving, fast and convenient delivery of "maintenance" drugs - those you anticipate taking on an on-going basis.
Registration and Mail Order Form (Employee use)
Fax Order Form (Physician use)
Order refills on-line from the Mail Order Pharmacy

COVERAGE TIERS
Generic $10 Retail (30-day supply) $20 Mail Order (90-day supply)	Preferred (Formulary) $20 Retail (30-day supply) $40 Mail Order (90-day supply)	Non-Preferred (Non-Formulary) $40 Retail (30-day supply) $80 Mail Order (90-day supply)
NOTE: If your doctor prescribes a brand name drug and indicates that the generic equivalent is acceptable, but you choose to decline the generic, then rather than just the copay, you will be responsible for the retail cost of the brand name minus the retail cost of the generic.