Prescription Drug Benefits
Your Employee Self Service
You can manage your information at home by logging into Employee Self Service through Remote Access.
You will automatically be provided with prescription drug coverage when you elect any of the medical plan options. For the NHRMC Plan and the Standard Plan, the rates shown in the chart below will apply to all prescription drug purchases. To obtain a listing of the participating pharmacies, generic equivalents and drug tier levels, go to www.MedImpact.com/.
2018 Medicare Part D Creditable Coverage Notice
- Your UnitedHealthcare membership card and identification number can also be used for prescription benefits. You will not receive a separate MedImpact prescription card.
- If you need to fill a prescription and you do not have your UnitedHealthcare card, provide the pharmacy the following information
- Prescription Benefit Administrator: MedImpact
- Rx Bin: 003585
- Rx PCN: ASPROD1
- Rx Group -- NHRMC: PHI23
Please feel free to contact the Benefits Team with any questions you may have. You can reach us by calling (910) 667-6000 or by dropping in to see us at the Business Center, Third Floor, Monday – Friday, 8 a.m. to 5 p.m.
For help finding a pharmacy or estimating the cost of your medications, you can visit www.MedImpact.com/.
NHRMC members can contact MedImpact, our new prescription plan administrator, at (888) 254-8850.
Mandatory Generic Drug Policy
Many prescription drugs are available as both a brand name drug and a generic name drug. By law, generic drugs must meet the same standards for safety and effectiveness as brand name
drugs. Obtaining generic drugs whenever possible can provide you with direct savings because you pay a lower co-pay. It also provides you with indirect savings because you save the plan money, which ultimately benefits you.
When you have a prescription filled, you will receive a generic substitute whenever possible. If there is not a generic equivalent available, tier pricing will apply. If you choose to receive the brand name drug and a generic equivalent is available, you will pay the difference between the full cost of the generic and the brand-name drug, plus the tier co-pay.
Prescription Drug Benefits
Any MedImpact In-Network Pharmacy
- Tier 1 30‐Day Supply $4
- Tier 2 30‐Day Supply $20
- Tier 3 30‐Day Supply $40
||Mandatory Mail Order Maintenance Medications**
||Prescription Drug 90-Day Supply
|Tier 1 90-Day Supply
||co-pay at 2 1/2 times ($10)
|Tier 2 90-Day Supply
||co-pay at 2 1/2 times ($50)
|Tier 3 90-Day Supply
||co-pay at 2 1/2 times ($100)
A Note About the Formulary
In order to continue to offer highly affordable prescription drug benefits, we partner with MedImpact to encourage the use of affordable, safe and effective medications through our existing three-tiered plan. Our prescription drug formulary (also known as the preferred drug list) may reflect some changes during each year such as substituting some non-preferred brand name medications for generics or preferred brands; quantity limits; age restrictions; or step-therapy.
We work closely with MedImpact and our internal clinical team to ensure that these changes are safe, reasonable and provide effective alternatives. If you or a covered dependent are impacted formulary changes, you will receive a letter from MedImpact with information and instructions.
Maintenance Medication by Mail
Our prescription drug plan requires maintenance medications (drugs you take regularly to manage a chronic condition) to be filled through MedImpact Direct. You will still be able to fill a maintenance drug prescription twice for a 30-day supply at a retail pharmacy. After that, maintenance drugs must be filled for a 90-supply through MedImpact Direct.
All employees who use mail-order prescription delivery for maintenance medications can contact MedImpact Direct by calling (855) 873-8739 or by visiting MedImpactDirect.com. Your provider can submit your prescription electronically via ePrescribing or fax to: (888) 783-1773. You can review the MedImpact Direct letter here.
For our members who require specialty medications, MedImpact has partnered with CommCare Specialty Pharmacy to meet your needs. To reach CommCare, call (888) 203-7973 or visit CommCarePharmacy.com. Please review this letter for additional information about CommCare.
NHRMC Outpatient Pharmacy
You may purchase over-the-counter medicine at highly discounted rates, including ibuprofen, acetaminophen, antihistamine, cough medicine and smoking cessation aids.