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|Plan Availability||All States|
|Enrollment Deadline||18th of month Prior to Effective date|
|Eligibility||18 to 64|
|Walk-in Price Search|
Plan Formulary includes generic only medications. To determine if your medication is included in the formulary and the actual member responsibility cost, use the Drug Saving Finder explained in Welcome kit.
No Out-of-Pocket Annual Maximum per covered person
As a member you are responsible to pay the difference between the cost of the medication minus the indemnity benefit paid directly to the pharmacy for medications included in your Formulary.
Please remember, your member responsibility cost applies only to medications on the Formulary. Any medications not included, such as non-formulary drugs are non-insured benefits and you are responsible for 100% of the discounted cost of the medication at time of purchase. Savings are available by presenting your Rx card at the time of purchase. Please refer to the Formulary included in your plan information, to confirm if your medication is covered and the member responsibility cost.
|Days Supply||You may purchase up to a 31-day supply of most prescription medications. There are no formulary quantity limitations and no need to obtain prior authorization before filling a prescription. There is currently no mail order option available.|
Broadreach Medical Resources Inc., RESTAT Pharmacy Network and Axium Specialty Pharmacy. For more information, refer to “If you need to” in the Welcome Letter.
Fidelity Security Life Insurance Company, Kansas City, MO.
When to use the Broadreach Rx website and Member Services
The website should be your first stop for information, Privacy-Secured personalized reports on your benefit history and much more. Please refer to this overview for guidelines on how to make the most of this valuable resource and when you should call the BMR Member Services.
|If You Need to...||Then Use...|
Your plan provides you with prescription drugs through RESTAT’s national network of more than 75,000 pharmacies.
Listed below are several examples that demonstrate your member responsibility and the financial savings to you by using medications
Gastro-Intestinal/Ulcer Medications Omeprazole 20 mg Capsules
The plan cost: $5.00 Rx Indemnity paid to pharmacy: $1.00
Your Member Responsibility Cost: $4.00
included in your Rx Formulary of medications:
Cholesterol Lowering Medications Simvastatin 40 mg Capsules
The plan cost : $3.80 Rx Indemnity paid to pharmacy: $1.00
Your Member Responsibility Cost: $2.80
These are examples, prices will vary based on daily dosage and pharmacy location. Please keep in mind, your prescription program benefit covers medications in the Rx Essential Formulary. If you are taking a non-formulary medication use the Rx Essential Drug Saving Finder to search for and identify an available formulary generic alternative medication that can save you significant out of pocket expense.