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Pharmacy Benefits

Fill your prescriptions, simply

There are two easy ways to fill your prescriptions. You can choose the one that works best for you – and for your budget.

Here’s how to get started with using your pharmacy benefits.

Fill your prescriptions, simply

There are two easy ways to fill your prescriptions. You can choose the one that works best for you – and for your budget. Getting prescriptions through the mail is often a cost-saving choice.

  • Delivered to your door.
    Most plans allow you to order up to a three-month supply of medication you take regularly. Your medication will be delivered right to your home, saving you a trip to the pharmacy. It’s convenient – and most of the time you’ll get your medications for less. You can get the prescriptions filled three different ways:

        1.    Use the Health4Me app.
        2.    Log on to a new window).
        3.    Call the number on your ID card.

    It’s simple. And there’s no charge for standard shipping to U.S. addresses.

  • Pick up at the pharmacy.
    Show your ID card at any UnitedHealthcare network retail pharmacy. Find a list of network pharmacies using the UnitedHealthcare Health4Me app, on a new window) or call the number on your ID card.

Transfer your current medications

With your new plan, coverage for prescriptions you’re already taking may change. To help make sure you continue to get the medications you need:

  1. Enter them into the drug pricing tool on a new window) to see if they’re covered.
  2. Get information on how to continue to get your current medications or how to switch to a lower-cost alternative.

What’s a prescription drug list? (PDL)

A prescription drug list (PDL) is the list of all medications, organized into cost levels, called tiers. Some medications might not be covered under your benefit plan. Check your PDL to find the medications covered by your benefit plan.

Look at the PDL with your doctor to review costs and any approvals you might need to get from your health plan to fill your prescriptions. You can talk to your doctor about lower cost options if a certain medication does not fit your budget. PDL changes happen frequently, so be sure to check it often to make sure you’ve got the most updated information. You can find your PDL under the Pharmacies & Prescriptions section of a new window).

Know the terms

When you fill your prescription, there may be conditions on how they’re filled. For example, some medications can only be filled in certain amounts. Some common terms you might hear are:

  • Prior authorization – a requirement that your doctor explains why you need a certain medication before your plan decides how and if it will be covered. 
  • Step therapy – when your plan requires you to try one or more medications before approving coverage for a different one.
  • Quantity limits – the largest amount of medication your plan will cover per copayment or period of time.
  • Specialty medication – medications used to treat complex or rare conditions that you may need to get from a specialty pharmacy.

Keep these in mind when you’re getting started with filling your prescriptions, so you’re prepared if they come up. If you see terms you don’t know, like “deductible” or “coinsurance,” visit the Common Terms page. You'll find many words defined in plain, clear language to help you make informed decisions.

Go mobile

With a new window) and the UnitedHealthcare Health4Me app, you can stay on top of your prescriptions and pharmacy benefits anywhere you go. Use them to:

  • Set up and refill home delivery orders.
  • Track your prescription history.
  • Find network pharmacies.
  • Compare medication prices.

Download the app through the Apple® App Store® or Google Play™ store for Android® devices.

Cost-saving checklist

Here are a few tips to help you manage your medication costs easily.

  • Check the PDL frequently to track changes or to see costs before your doctor chooses a medication to prescribe.
  • Shop around and compare prices using the drug pricing tool on a new window) or the UnitedHealthcare Health4me app.
  • Ask your doctor about generics to see if there’s a lower-cost alternative.

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