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Certain medications require that the physician or pharmacist contact ClearScript to approve the coverage before it is dispensed. Many of these medications are high cost or have certain requirements. It is best to talk to your doctor or pharmacist if you need a drug that requires a prior authorization.
Promoting cost-effective use of medications.
Learn the maximum amount of medication covered by your drug benefit for one prescription.
For certain high cost specialty medications that sometimes have side effects, you are limited to a maximum 15 day supply for the first six fills. This avoids you paying for medications you may not use. ClearScript Split Fill (PDF)
Understanding Prescription Coupons (PDF)
Discover which medications are considered preventive care and may be covered by your healthcare plan. Fully-insured members will receive preferred insulin products for a $25 copay effective January 1, 2020 or upon your group’s renewal date.
You are on the demonstration website. This site only displays demonstration members. For the development site Click here To learn more about the demonstration members, please contact Josh Pokorny.