Starting January 1, 2024, some prescription drugs:
To find out if your medication is impacted, you can review 2024 prescription drug list changes.
Here’s your 2024 drug list (for coverage that renews or starts on or after January 1, 2024):
Please note that some drugs may be covered under your health plan’s medical benefits instead of your pharmacy benefits.
If you are taking or prescribed a drug that is not on your plan’s drug list, call the number on your member ID card to see if the drug may be covered by your plan’s medical benefits.
When reviewing your drug list, you might find letters in the additional requirements columns. Here's what they mean:
Talk with your doctor if your drug has an additional requirement.
Your health plan’s prescription drug list has many levels of coverage, called member payment tiers.
Some plans have up to 4 tiers and some plans have up to 6 tiers. Each tier has its own cost. Most often, the lower the tier, the lower your out-of-pocket costs will be for the drug.
When you get a prescription, you can look up the drug tier on your drug list.
Here's a list of some drugs that are no longer covered as of January 1, 2024.2
If your prescription drug is on the list, you'll see other drug alternatives that may be options for you.
To find all pharmacies in your 2024 network, visit myprime.com.
Please note, changes could be made to the pharmacies in the future. Not all retail network pharmacies may participate with MedsYourWay.
Talk with your doctor about your next steps. Your doctor or pharmacist can answer questions or concerns you may have about your prescribed medications. Pharmacy selections and your care are always between you and your doctor.
1 Coverage is based on the terms and limits of your plan. For some drugs, you must meet certain criteria before prescription drug coverage may be approved.
2 Commonly used drugs that are no longer covered may not apply to all strengths/formulations. Third-party brand names are the property of their respective owners. Some benefit plans may have preventive drug benefits. This means you may pay a lower cost, as low as $0, for preventive care drugs. If your plan has preventive drug benefits, and coverage for your prescription changes, the amount you pay under the preventive drug benefit may also change. Some drugs may be covered under your medical plan instead of your pharmacy benefits.
3 The preferred pharmacy network pricing isn't available for 100% cost-sharing plans.
MedsYourWay is not insurance. It is a drug discount card program that compares the drug discount card price for an eligible medication at participating pharmacies to the member’s benefit plan cost share amount and then applies the lower available price. Eligible medications are subject to change, prescription prices may vary by location and not all pharmacies participate. MedsYourWay is administrated by Prime Therapeutics, LLC, which administers the pharmacy benefit management services for your plan.