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Prescription Plans That Work For You

It’s important to consider the number of prescriptions you and your family have when you are looking for a new health plan. We are committed to providing you with the best prescription coverage options available. We offer a tiered prescription plan to help accommodate the needs of our members with costs as well as selection of certain medications.

Rx Member Support: Anytime, Anywhere

To find ways to save and manage your pharmacy benefits online, go to elixirsolutions.com and select 'Register'. Click Read More to learn more.

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Elixir

We partner with Elixir to administer prescription benefits for our members. Elixir provides many online tools to help you including:

  • Locating a participating pharmacy
  • Prescription drug pricing
  • Helpful drug information
  • Mail order administration and ordering

You can view your member benefits by logging in to Elixir’s secure site at www.elixirsolutions.com/. You will need to enter your Member ID number on your identification card and Date of Birth to log in.

Elixir Pharmacy Technicians are also available 24 hours a day/7 days a week to assist you with your pharmacy needs. You can call toll free at (844) 838-1522.

Making the Right Prescription Choices

Prescription Formularies give details of the covered medication tier levels and quantity limits. Download the formulary for the type of health plan you are covered under below.

Group and Individual Plans

View 2022 Formulary

Search Formulary

View 2023 Formulary

Search Formulary

Short Term Medical Plans

2022 Short Term PLUS Formulary

Search Formulary

2023 Short Term PLUS Formulary

Search Formulary

Cox Employee Health Plan – Plans offered to Employees of CoxHealth

View 2022 Formulary

Search Formulary

View 2023 Formulary

Search Formulary

MEC Plan Preventive List

PDF Download

Preferred Drug List

View 2022 - All Plans

PDF Download

View 2023 - All Plans

PDF Download

Maintenance Medications List

Maintenance Medications

PDF Download

Opioid Care and Safety

Materials

View Link

CDC Guidelines

PDF Download

Generic vs. Name Brand

With prescriptions, you have the choice between generic and name brand drugs. Some plans offer better coverage for generic drugs, whereas others offer coinsurance, copayments or coverage that only applies after your deductible is met. You’ll want to evaluate at what level your prescriptions are covered, and how expensive they are, to determine if you need better coverage for prescriptions.

Generic medications work like the equivalent brand name drug in dosage, strength, performance and use. All generic medications are reviewed and approved by the Food and Drug Administration to perform in the same manner. Please discuss with your Physician what Generic alternatives may be available to start saving money on your out of pocket prescription costs.

Ways to Save Money on Your Prescriptions

If you are taking maintenance medication such as blood pressure medicine, you may want to consider using our mail order service for additional savings. You get:

  • 90-day supply
  • 2.5 times your copayment instead of 3
  • Convenience of your medication being delivered to your home

Mail Order Savings

Mail Order Brochure

PDF Download

Generic Utilization

PDF Download

Over-the-Counter (OTC) Medication Benefits

PDF Download

Glucometer OneTouch

PDF Download

Elixir Mobile App

PDF Download

Prescription Forms

Prescription Mail Order Form

PDF Download

Designation of Personal Representative

PDF Download

Direct Member Reimbursement

PDF Download

View 2023 Step Therapy-All Plans

PDF Download

Prescription Non Formulary Exception Request

PDF Download

Prescription Prior Authorization

PDF Download

Formulary Prescription Exception Form

PDF Download

Quantity Limit Exception Request

PDF Download

Prescription Appeal Form

PDF Download

Prescription Claim for Compound Medications

PDF Download