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 1-888-806-3142

Filling prescriptions:

Prime Therapeutics is your pharmacy benefit manager (PBM).

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

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

For more information regarding your services, coverage, drug interactions and education about specific drugs, please visit Member Login Page | Prime Therapeutics Management. Use the member number on your health plan ID card to register an account or login.

Contact Prime Therapeutics:

To speak to Prime Therapeutics Member Services, please call 855-457-0007.

Visit the Prime Therapeutics website here.

2025 Forms

Quick Formulary Reference Guide Accord	Reference guide
Accord Preventive Medications	List of preventive medications
Quick Formulary Reference Guide NetResults	Reference guide
NetResults Preventive Medication	List of preventive medications

Forms

Copay 1500 Plan Benefit Booklet	Provides a high level overview of your prescription benefits with EHiM.
Copay 5000 Plan Benefit Booklet	Provides a high level overview of your prescription benefits with EHiM.
HSA 5000 Plan Benefit Booklet	Provides a high level overview of your prescription benefits with EHiM.
PPACA Formulary	Provides a list of preventive care drugs covered at a $0 copay.
Mail Service Overview	Provides a high level overview of your prescription mail service with EHiM.
Mail Service Order Form	Mail Service Registration & Prescription Order Form.
Generic Drug Facts	Provides a list of Frequently Asked Questions about generic drugs.

Prescription Drug Coverage

	Retail 30 Day Suppy	Mail Order 90 Day Supply
Copay Plan 1
Generic	$10 Copay	$20 Copay
Preferred Brand	$50 Copay	$100 Copay
Non-Preferred Brand	$100 Copay	$200 Copay
Specialty	20% Coinsurance up to $250	Not Available
Copay Plan 2
Generic	$10 Copay	$20 Copay
Preferred Brand	$50 Copay	$100 Copay
Non-Preferred Brand	$100 Copay	$200 Copay
Specialty	20% Coinsurance up to $250	Not Available
HSA Plan
Generic	50% Coinsurance*	50% Coinsurance*
Preferred Brand	50% Coinsurance*	50% Coinsurance*
Non-Preferred Brand	50% Coinsurance*	50% Coinsurance*
Specialty	50% Coinsurance*	Not Available
NOTE: *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:

Did You Know?