Prescription Drug Program

You have prescription drug coverage with Priority Health. You may be required to pay a $1 Copay per prescription. Priority Health uses a medication formulary. This is an approved list of drugs that doctors use when deciding on medicines for members. The formulary includes many kinds of drugs, but not every medicine is covered.

Some drugs that are not covered are:

• Brand name drugs when the Food and Drug Administration (FDA) has approved a generic medicine that can be used instead.
• Appetite control drugs.
• Drugs that are not prescribed by a doctor.

If you would like to know more about the Priority Health medication formulary, call or write the Customer Service Department and get the answers to these questions and more:

• Which drugs are on the formulary?
• How can I get a copy of the formulary or pharmacy policies and procedures?
• What if I need a drug that is not on the formulary or that requires prior-authorization?
• What is a generic drug?
• Are generic drugs safe?

Your doctor will usually order a 31-day supply of medicine.
It's important to know about the medications you take. Always:

• Talk and listen to your doctor and pharmacist about your medications.
• Make sure that all of your doctors know about everything that you are taking including over the counter medications and herbal/dietary supplements.
• Understand what the medication is for, how to use it, where to store it, and what side effects (if any) you might expect.
• Make sure that your doctors know about any allergies and reactions to medications that you have had.
• Make sure that you can read the prescriptions you get from your doctor.
• Ask your doctor and pharmacist questions about your medications.
• What are the brand and generic names of the medication?
• What does the medication look like?
• How should it be taken and for how long?
• What should you do if you miss a dose?
• What should you do if side effects occur?

When you pick up the medication, ask the pharmacist if this is the medication that was prescribed. Make sure you understand the instructions on the label.