State health insurance program participants: Just a reminder of the following changes to prescription benefits for 2018:
- CVS Pharmacy (including Target) and certain out-of-state pharmacies will no longer be in-network
- Certain over-the-counter medications will no longer be covered (such as steroid nasal sprays (Flonase®) and medication to treat heartburn (Prilosec®))
- Lumicera and UW Specialty Pharmacy are replacing Diplomat Specialty Pharmacy as the preferred specialty pharmacy. Level 4 preferred drugs (specialty medications) must be filled at one of these pharmacies.
- Serve You is replacing WellDyneRx as the mail order pharmacy. Navitus mailed information to affected members, and we would need to register with Serve You DirectRX Pharmacy Mail Service by calling them at 1-800-481-4940. (Prescriptions that still have refills available will transfer over.)
- New discount drug list– Prescriptions that are not covered by the pharmacy benefit may be available at a discounted rate. This may include drugs for infertility, weight loss, cosmetic or other lifestyle needs as prescribed by your doctor.
- Find in-network pharmacies and formulary lists on the Navitus website, or call Navitus at 1-866-333-2757 with questions.