Town of Fountain Hills Pharmacy Benefits
Information on Town of Fountain Hills pharmacy plans, summary of benefits, vendor links and forms.
FAQs
Who is Navitus?
Navitus Health Solutions is your Pharmacy Benefits Manager (PBM). A PBM directs prescription drug programs and processes prescription claims by negotiating drug costs with manufacturers, contracting with pharmacies and building and maintaining drug formularies. These cost-saving strategies can help lower drug costs and promote good member health.
Who do I call to request additional cards?
You can request replacement cards from AmeriBen by calling Customer Care toll-free at (855) 350-8699. You should receive your new card within 7 to 10 calendar days from the date of your request. You may also access a digital ID card via the MyAmeriBen Mobile App or print a copy from the MyAmeriBen website at www.MyAmeriBen.com.
Who do I contact with questions about my pharmacy benefit (such as formulary, claims, participating pharmacies, etc.)?
Your formulary, list of participating pharmacies and other information about your pharmacy benefit can be found on www.navitus.com. You can also call Navitus Customer Care toll-free at (866) 333-2757 with questions about your pharmacy benefit.
Where can I find my formulary?
The list of drugs covered by your benefit is available on the Navitus website at www.navitus.com.
Can I use my health plan card to fill prescriptions at my pharmacy?
Yes, you have been provided with a dual Medical/Rx ID Card that is issued by AmeriBen. When filling prescriptions at your pharmacy, you are required to present the dual Medical/Rx ID Card.
When can I refill my prescription?
Your prescription can be refilled when approximately two-thirds or 70% of the prescription has been taken.
How much will I pay at the pharmacy?
Your prescription coverage offers 4 copayment levels: Generic, Preferred Brand, Non-Preferred Brand and Specialty Additionally, your plan offers discounted copayments if you fill your maintenance prescriptions, prescriptions that you take on a daily basis, for up to a 90-day supply. The copayment levels vary depending on the Plan you have selected to participate in. Please see your Summary Plan Document (SPD) for specific information.
All of the medical plans provide FREE coverage for certain preventive medications required by the Accountable Care Act (ACA or Healthcare Reform). For more information on which drugs are covered go to www.healthcare.gov or call Navitus Customer Care toll-free at (866) 333-2757.AzMT’s current prescription drug copayment structure is as follows:
To find out what copayments are applicable to your specific medications you may log on to www.navitus.com or you can call Navitus Customer Care toll-free at (866) 333-2757.
Pharmacy Plan Resources
Schedule of Prescription Drug Benefits
Claim & Reimbursement Forms
- Navitus DMR Claim Form
- Navitus Compound Rx Claim Form
- Navitus Foreign Rx Claim Form
- Costco Mail Order Form
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