PRESCRIPTION DRUG COVERAGE
Understanding Your Pharmacy Options
Short Term
Use for 30-day or one-time prescriptions , filled by Navitus at over 68,000 pharmacies nation-wide .
Mail Order
Use for maintenance medications that will continue for at least 90 days , delivered to your door through Navitus partner , NoviXus .
90-Day Retail
As an alternative to the mail order option , your doctor may write a prescription for a 90-day period and can be filled at your local pharmacy .
Specialty Rx and Injectables
Lumicera Health Services helps manage high-cost , specialty medications and injectable drugs with a focus on patient care . Call 1-855-847-3553 to order your specialty medications .
Prior Authorizations ( PA ), Step Therapy ( ST ), and Quantity Limits ( QL )
Some medications require prior authorization , have quantity limits or may be part of a step therapy program . This means you may need to try a safer or more cost-efficient drug prior to a prescription being written . Call Navitus at 1-866-333-2757 for assistance with these types of medications .
Getting The Most From Your Pharmacy Benefit Generic Drug Equivalents
Generic drug equivalents are medications that have the same active ingredients as their name brand equivalents , but at a fraction of the cost . Generic equivalents are the default option for your plan , so long as your doctor does not 1 ) specify brand name-only and 2 ) specify that no substitutions may be made . Be sure to talk with your doctor about generic equivalents when writing or refilling your prescription .
City of Arlington / EMPLOYEE BENEFITS GUIDE 2021
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