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 877-241-7123.
| Highmark Value HSA Plan |
Highmark Base HSA Plan |
Highmark Premium PPO Plan |
||||
|---|---|---|---|---|---|---|
|
Generic (Tier 1) |
$10 after deductible | $10 after deductible | $10 | |||
|
Preferred (Tier 2) |
$80 after deductible | $80 after deductible | $80 | |||
|
Non-Preferred (Tier 3) |
$130 after deductible | $130 after deductible | $130 | |||
|
Preferred Specialty (Tier 4) |
$180 after deductible | $180 after deductible | $180 | |||
|
Mail Order Pharmacy (90 Day Supply) |
||||||
|
Generic (Tier 1) |
$20 after deductible | $20 after deductible | $20 | |||
|
Preferred (Tier 2) |
$160 after deductible | $160 after deductible | $160 | |||
|
Non-Preferred (Tier 3) |
$260 after deductible | $260 after deductible | $260 | |||
|
Preferred Specialty (Tier 4) |
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.
EmpiRx: Pharmacy Benefit
Program Manager
Video: Prescription Drug Benefits
