MedImpact is the prescription drug administer for all three medical plans. MedImpact offers a nationwide network of national chain pharmacies and independent pharmacies. The amount you pay for covered prescription drugs depends on the medical plan in which you’re enrolled, the type of prescription and if you’ve met your plan’s annual deductible or out-of-pocket maximum.
Prescription Drug Coverage
Here’s how much you’ll pay for prescription drugs under each medical plan at a retail pharmacy (up to a 30-day supply):
Health Savings Plan
Tier 1: 10% after deductible
Tier 2: 10% after deductible
Tier 3: 10% after deductible
Tier 1: $15 copay
Tier 2: $55 copay
Tier 3: $90 copay
Tier 1: $10 copay
Tier 2: $50 copay
Tier 3: $80 copay
MedImpact Direct Specialty Program
With the MedImpact Direct Specialty Program (MIDS), it’s not just about your medication—it’s about the entire specialty drug process. MIDS provides you with clinical consultations and support to ensure you understand how to take your medication, potential side effects, and more.
Specialty drugs are generally high-cost prescription medications taken for a complicated illness, but not all specialty medications are included in the program. Initially the program will focus on oncology medications and highly utilized specialty medications.
For some members, this will change where your prescriptions are filled. Your access to the medications, benefit levels (tier placement, copays, and coinsurance), and the ability to use coupons or manufacturer’s debit cards for the medication is not changing. Starting September 1, these medications will only be available through three prescription services – UAMS, Kroger Pharmacy and US Bioservices. MedImpact and these providers will be in touch with those members affected by this change to assist with questions and with the transfer of prescriptions.
Save on Medications
Here are tips on how to spend less on prescription drugs without compromising quality, safety or effectiveness:
Ask for generics. They’re usually much less expensive than brand name drugs. According to the FDA (the U.S. Food and Drug Administration), a generic drug is identical—or “bioequivalent”—to a brand name drug in dosage form, safety, strength, route of administration, quality, performance characteristics and intended use.
Visit MedImpact for Rx tools and resources. Sign in for access to:
Drug information. Search drugs, check drug interactions and identify pills.
Benefit highlights. See your copay amounts and other pharmacy benefit information.
Drug price check. Make informed drug choices and compare drug prices.
Pharmacy locator. Find a participating network pharmacy near you.
PersonalHealth Rx® . Print your drug history for a physician visit or tax reporting.
Microsoft® HealthVault™. Upload your prescription claims to your Microsoft HealthVault account.
Try mail order for maintenance medication. Order up to 90 days of medication at a time for drugs taken for long periods, through MedImpact Direct—MedImpact’s mail order service. Medications are sent to your home with no shipping fee.