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 877-496-0754

Questions about your benefits?

service@healthez.com

Register your myHealthEZ account

>>Click here

SmithRx is your pharmacy benefit manager (PBM).

Visit the SmithRx 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 SmithRx’s member login page. Use the member number on your health plan ID card to register an account or login. You can also access your plan formulary here

Contact SmithRx

To speak to SmithRx, please call (844) 454-5201 or email help@smithrx.com. 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

 

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 Step Therapy Overview
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
$2,750 Copay Plan
Generic $15 Copay $37.50 Copay
Preferred Brand $50 Copay $125 Copay
Non-Preferred Brand $75 Copay $187.50 Copay
Specialty 20%* Not Available
NOTE: * After Deductible
$4,750 Copay Plan
Generic $20 Copay $50 Copay
Preferred Brand $60 Copay $150 Copay
Non-Preferred Brand $85 Copay $212.50 Copay
Specialty 20%* Not Available
NOTE: * After Deductible
$5,250 Copay Plan
Generic $20 Copay $50 Copay
Preferred Brand 30%* 30%*
Non-Preferred Brand 30%* 30%*
Specialty 0%* Not Available
NOTE: * 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
Good Rx logo