Prescription (Rx) Insurance
Administered by EmpiRx Health
Prescription Benefits
Pyramid Healthcare offers prescription coverage. If you elect to participate in any of the medical plans, you are automatically enrolled in the prescription drug plan. To see how your prescriptions are covered, call Member Services at 877-926-0576.
| Value HSA Plan | Base HSA Plan | Value PPO Plan | Premium PPO Plan | |||||
|---|---|---|---|---|---|---|---|---|
|
Generic (Tier 1) |
$10 after deductible | $10 after deductible | $10 | $10 | ||||
|
Preferred (Tier 2) |
$80 after deductible | $80 after deductible | $80 | $80 | ||||
|
Non-Preferred (Tier 3) |
$130 after deductible | $130 after deductible | $130 | $130 | ||||
|
Preferred Specialty (Tier 4) |
$180 after deductible | $180 after deductible | $180 | $180 | ||||
|
Mail Order Pharmacy (90 Day Supply) |
||||||||
|
Generic (Tier 1) |
$20 after deductible | $20 after deductible | $20 | $20 | ||||
|
Preferred (Tier 2) |
$160 after deductible | $160 after deductible | $160 | $160 | ||||
|
Non-Preferred (Tier 3) |
$260 after deductible | $260 after deductible | $260 | $260 | ||||
|
Preferred Specialty (Tier 4) |
N/A | N/A | N/A | N/A | ||||
How Do I Find a Participating Pharmacy or Drug Information?
Log in to www.myempirxhealth.com where you can:
- Find a participating pharmacy
- Order a new ID card
- Locate drug information and pricing
- And so much more!!
Save $$ by ordering your prescriptions through the mail-order program.
Your prescriber can submit the prescription electronically to our mail order pharmacy (BeneCard Central Fill) or by fax to 888-907-0040 or complete the mail order form included with your Welcome Packet. Attach your prescription and submit in the preaddressed envelope.
Understanding your Pharmacy Benefits with EmpiRx
How to Use the Member Portal
Patient Saver Program with Luna Health Solutions
Get Clinical Review Text Alerts
Download the EmpiRx Health App
Prescription Mart: Mail Order Pharmacy Benefit
