Pharmacy Benefits Plan

No. This administrative change will not impact how you use your benefit. Rx Plus Pharmacy will continue to be your provider for maintenance and specialty medications. As the new PBM, CVS/Caremark processes team member claims for Rx Plus Pharmacy orders.

No. Rx Plus Pharmacy remains your pharmacy for filling maintenance medications, specialty drugs, and mail-order prescriptions. Prescriptions for maintenance medications must be filled with Rx Plus Pharmacy.

Online through MyAdventHealthRx.com by logging into your AdventHealth Account.

Medications covered by the team member's health plan may have changed or have a different copay. If these changes impact you, you will receive a letter explaining next steps, as you may need to coordinate a medication change with your prescribing health care provider.

The easiest way to check the status of your order is to visit your AdventHealth Account (patient portal). Simply register and follow the navigation to view your order status or to request refills. If you still have questions or concerns, please contact Rx Plus Pharmacy via email at [email protected].

Status of medication: You can check the status of your medication in your AdventHealth Account:

• In progress – Medication request has reached the pharmacy and is being worked on
  
• Delay notifications – Medication not in stock/insufficient inventory, prior authorization required, refilled too soon, etc
  
• Shipping notification with tracking URL

Rx Plus Pharmacy will deliver your medications within 8 days (excluding weekends and shipping).

To avoid delays, please ensure you have provided the correct method of payment on your profile.

No, the transition to the Epic platform removes the need for automatic refills. To make it easy, refill reminders will be sent to you via text or email. You can refill your prescriptions from your AdventHealth Account or by calling 866-943-4535 and inputting your prescription number into the IVR system. If you have any questions, please email us at [email protected].

Some AdventHealth members receiving specialty medication from Rx Plus Pharmacy may qualify for $0 copays after their deductibles have been met.

As of April 1, 2024, diabetic patients (Type 1 or Type 2) can receive an Accu-Chek Guide Me glucometer, test strips and lancets for a $0 copay by taking the following steps:

• Ask your provider to provide a new prescription for Accu-Chek Guide Me test strips and lancets to Rx Plus Pharmacy.
• Contact Rx Plus Pharmacy to request a new Accu-Chek Guide Me glucometer. Note: Free glucometers may take two weeks to ship.
  • Email (preferred): [email protected]
  • Phone: Call866-943-4535 (M-F, 8 am – 8 pm EST)

The Accu-Chek Guide Me glucometer is a reliable and easy-to-use blood glucose monitoring system that can help members manage diabetes.

Copay cards are offered by manufacturers to offset the out-of-pocket cost of medications. If you have a copay assistance card provided by your drug manufacturer that you would like to apply to your copay to reduce the cost of your brand name medication, you may either email a picture of the card or the processing information (BIN/PCN/Group/ID) to [email protected], or call Call866-943-4535, Monday through Friday, 8 am to 8 pm EST.

While manufacturer copay assistance cards help save you money, the funds provided from manufacturer copay assistance do not apply toward your deductible or out-of-pocket maximum.

In January 2024, CVS/Caremark became our new pharmacy benefit manager (PBM), and some medications covered by the health plan may have changed or may have a different copay. Click to view Copay Structure and Preferred Formulary Drug List.