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Out-of-Network Pharmacies

We normally do not cover drugs filled at an out-of-network pharmacy. We have network pharmacies outside of our service areas. When you are not able to use a network pharmacy we will pay for your drug in the following cases:

  • When you are out of the area, require a drug to be filled unexpectedly, and are unable to obtain your medication at a network pharmacy.
  • During a declared disaster in your service area and you cannot use a network pharmacy.
  • Coverage is limited to up to a 30-day supply.

You can use our Find a Doctor or Pharmacy tool to help you locate a pharmacy that is in our network.

Will the plan pay you back for a prescription?

If you must use an out-of-network pharmacy, you will generally have to pay the full cost instead of a copay when you fill your prescription. You can ask us to pay you back for our share of the cost.

Call Member Services at 1-877-941-0482. Hours are 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and holidays, you may leave a message. Your call will be returned within the next business day. TTY users call 711. The call is free.



Last Updated: 02/08/2018