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Get ready to use your pharmacy benefits

Your prescription coverage starts soon. Take a few minutes now to check your medications, find an in-network pharmacy, and avoid surprises when you fill a prescription.

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Make sure your medications are covered—and avoid surprise costs

Select Health large employer plans include a list of covered medications. Check your medications now to see:

  • Whether they're covered
  • If they require approval before filling
  • If lower-cost alternatives are available
  • Any limits that apply

The covered medication search includes average retail prices. If you use insurance benefits for these medications, your pricing will be based on your benefits.

Understand common coverage requirements

Some medications may have additional requirements before they're covered. These requirements help ensure medications are used safely and appropriately.

Terms to know

Prior authorization (PA)

Your doctor may need approval from Select Health before the medication is covered.

Step therapy (ST)

You may need to try a lower-cost or clinically appropriate medication before moving to another option.

Quantity limit (QL)

Some medications have limits on how much can be covered during a certain period of time.

Medications worth a closer look

Diabetes medications

Not all brands may be covered. Check your medication list for covered options.

Heartburn & acid reflux medications

Many treatments are available over the counter and may not be covered by your plan.

Specialty medications

Specialty medications often require additional coordination and may have specific coverage requirements.

What if a medication isn't covered?

If a medication isn't covered, requires approval, or costs more than expected, your doctor may be able to help.

Possible options include:

  • Prescribing a covered alternative
  • Requesting prior authorization
  • Starting the step therapy process
  • Moving your prescription to an in-network pharmacy
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You're ready to use your pharmacy benefits

Once you've checked your medications and found an in-network pharmacy, you'll be ready to use your prescription benefits from day one.
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