You can determine the copay level (tier) for your patient’s medications by reviewing Physicians Plus Drug Formulary. The formulary lists medications alphabetically.
Certain medications require prior authorization before coverage is provided.
Medications included in this specialty pharmacy program have been identified as requiring additional monitoring to provide the best patient outcomes and reduce waste. Prescriptions for these medications must be filled at a participating Physicians Plus Specialty Network pharmacy and a pharmacist trained in cancer therapies will assist a member through their treatment course.
During the first three months of treatment members will only receive two weeks of medication at a time. Members will pay half of their normal monthly copayment for each fill.
Please refer to the Summary of Benefits to see your specific cost share information. These medications are denoted as PF (Partial Fill) on the formulary listing.
To determine the copay tier level for medications, to search for drug information, or to view the status of medication prior authorization requests, please login to MyChart.
This health plan is underwritten by Physicians Plus Insurance, Inc.