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SelectHealth Pharmacy

SelectHealth Prescriptions

SelectHealth Prescriptions is our pharmacy benefit management program. We have a dedicated phone line for pharmacists and physicians, with pharmacists on staff who can answer your questions. 

Call us at 800-442-3129 weekdays, from 7:00 a.m. to 8:00 p.m., and Saturdays, from 9:00 a.m. to 3:00 p.m. 

How Do Pharmacy Benefits Work?

Prescription coverage is divided into three or four tiers, depending on the plan type. Each drug is covered under a specific tier, and each one corresponds to a copay or coinsurance amount.

     Tier 1 - Lowest Cost (mostly generic drugs)

     Tier 2 - Higher Cost (generic and brand-name drugs)

     Tier 3 - Highest Cost (mostly brand-name drugs)

     Tier 4 - Injectable Drugs and Specialty Medications

NOTE: Not all plans have a fourth tier. Some plans cover injectable drugs and specialty medication under medical benefits.


Prescription Drug Lists

We work closely with physician and pharmacists to develop evidence-based drug lists. We offer two prescription drug lists (formularies):

     RxSelect is our traditional, larger drug list with three or four tiers of coverage.

     RxCore is a more cost-effective drug list with four tiers of coverage.

     SelectHealth Advantage is our drug list for members with SelectHealth Advantage (Medicare Advantage) coverage.

     SelectHealth Community Care is our drug list for members with SelectHealth Community Care (Managed Medicaid) coverage.



 
 

Retail90

Retail90 enables members to pick up your 90-day supply of maintenance medications, at their convenience, for a more affordable copay/coinsurance amount. It also allows members to maintain their relationship with a local pharmacist who is familiar with SelectHealth’s policies.


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