PriorityPharmacy pharmacy benefits program
Just like our medical coverage,
PriorityPharmacy
SM, our prescription drug benefit plan, improves health and lowers costs. It's how Priority Health continues to beat the national pharmacy cost trend.
PriorityPharmacy features & advantages
- Three benefit designs: 2-tier, 3-tier and 3-tier with specialty drug management
- Impressive drug discounts: 24% for brand-name drugs and 75% for generic drugs
- Low or no dispensing fees
- Pharmacy case management services promote safety, effectiveness and cost-savings
- We handle everything, from administration to case management for employees with chronic medical conditions
- Add PriorityPharmacy to PriorityPPOSM, PriorityPOSSM, PriorityHMOSM, PriorityHSASM, or HealthbyChoiceSM plans
- Network of more than 60,000 Michigan pharmacies, numerous national chains and nationally-known mail order service
- Expert resources - including more than 100 Michigan physicians and pharmacists - collaborate to build an approved list of safe, effective, FDA-approved medications
- Medication therapy management programs
- Online Approved Drug List to help employees see if their prescriptions are covered and what their costs are
- Cost-sharing options promote sensible prescription choices
- Convenient mail-order service (with 25% network discounts on brand-name drugs and 71% discount on generic drugs)
- One member ID card used for both medical care and prescriptions
PriorityPharmacy plan administration
- Using the Approved Drug List - Shows your employees how to find out if their prescriptions are covered
- Transition refills - If an employee is taking a drug that's not on our Approved Drug List, they may qualify for a transition refill when they first join a Priority Health plan
