Prescriptions

Have questions about your prescription coverage?

Learn about your benefits, costs, formulary lists and any coverage restrictions by contacting your Pharmacy Benefit Manager (PBM) listed below.

If you prefer talking with a HealthEZ representative, call 1-844-204-3758

Filling prescriptions:

Liviniti is your pharmacy benefit manager (PBM).

Your pharmacy information is listed on the back of your medical ID card.

Bring your ID card with you when filling all prescriptions to be sure the pharmacy has current coverage information.

Please visit https://liviniti.com, and use the member number on your health plan ID card to register an account. Once you do, you’ll be able to get information about Liviniti services, coverage, drug interactions, and education about specific drugs.

Contact Liviniti:

To speak to a Liviniti Customer Care Representative, please call (800) 710-9341.

Visit the Liviniti website here.

Prescription Drug Coverage

	Retail 30 Day Suppy	Mail Order 90 Day Supply
Copay Plan 1
Generic	$10 Copay	$25 Copay
Preferred Brand	$35 Copay	$87.50 Copay
Non-Preferred Brand	$60 Copay	$150 Copay
Any Prescriptions over $350	Refer to SHARx	Refer to SHARx
HSA Plan 1
Generic	$4 Copay*	$8 Copay*
Preferred Brand	20%* up to $50	20%* up to $100
Non-Preferred Brand	20%* up to $100	20%* up to $200
Any Prescriptions of $350	Refer to SHARx	Refer to SHARx
* After Deductible

Did You Know?

Did you know there are coupon and price comparison sites for prescriptions?

Check out these sites and see if you are paying too much.

Prescriptions

Questions about your benefits?

Register your myHealthEZ account

Filling prescriptions:

Contact Liviniti:

Did You Know?