Get Individual and Family plan prescription information
How are prescription drugs covered?
Two more ways to save
We understand that insulins and diabetic supplies can be expensive. That’s we are offering two ways you can save beginning in January 2021.
A $25 monthly cap on select insulinsWhen you get insults from this list, you will pay $25 per month, per insulin. Check your plan documents for information specific to your preventive health coverage.
100% coverage for select diabetic suppliesAny diabetic supplies on this list are covered 100% and are no cost to you.
Find your drugs with our online search
Use the interactive formulary above to look up the medications you take. The list of covered drugs under your plan is called a "formulary". Our team of on-staff physicians and pharmacists reviews information on new and existing drugs and regularly updates the formulary with drugs that are safe and effective. Our interactive formulary is updated by the fifth business day each month.
Drug tiers explained
- Tier 1: most generics - drugs covered at the lowest cost share and will cost you the least.
- Tier 2: preferred brands and select generic drugs
- Tier 3: non-preferred brands and select generic drugs
- Tier 4: specialty drugs and some very high cost brand/generic drugs
- Preventive Benefit: preventive drugs, $0 cost sharing.
Save money by using generics
How to request an “exception” for your prescription drug.
Sometimes a drug you have been prescribed is not on our formulary. You may request a formulary exception (also called a medical exception) to receive coverage for a non-formulary prescription drug or medical supply. To learn more about the prescription drug coverage exception process and how to initiate a pharmacy exception, click here.
To initiate an exception process via email, click here. The request should include:
- the member name
- health care provider’s name, address and telephone number
- prescription drug strength, dosage form and directions
- lab medical data
- the medical reason for the request.
Medication therapy management
Talk with a pharmacist who can help you find ways to:
- minimize or eliminate medication side effects
- reduce the number of drugs you take
- find lower-cost alternatives
We employ utilization strategies to control and reduce opioid prescriptions and inappropriate use of prescription opioids.
Web access and tools to provide drug pricing transparency, alternative drugs, history of drug claims and side effect information
A compounding pharmacy makes drugs prescribed by doctors for specific patients with needs that can't be met by commercially available drugs. Here is a list of affiliated compounding pharmacies that will submit claims to us online and accept our reimbursement. View the list of affiliated compounding pharmacies.
Mail order pharmacies
Members of Security Health Plan have the option of getting their prescriptions through the mail using MedImpact Direct. Using this mail order pharmacy service for covered medications and supplies or for discounts on other prescriptions can be convenient but is not required. Using MedImpact Direct is completely voluntary. Members may continue to obtain their medication from any affiliated pharmacy. To access MedImpact Direct please click here.
MedImpact Direct - Medication Mail Order Form
Affiliated compounding pharmacies
Drug Safety News
New rules for pain medications