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

Questions about your benefits?

service@healthez.com

Register your myHealthEZ account

>>Click here

Filling prescriptions.

EHiM Rx 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.

Contact EHiM:

To speak to an EHiM Rx Customer Care Representative, please call 1-800-311-3446 24 hours a day

To send an EHiM Rx Customer Care Representative a message, click here.

Visit the EHiM Rx website here.

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 1500 Plan
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 5000 Plan
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 5000 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.

RxSaver.com
Good Rx logo