Pharmacy
Your Tidelands Health Medical Plan includes coverage for prescription drugs, administered by ProActRx.
Your Pharmacy Network Options
The amount you pay will depend on the type of drug prescribed, the number of days of the supply, and where you fill your prescription. You have several options for filling a prescription medication:
Save With Generics and Tidelands Family Pharmacy
Tidelands CANARX International Pharmacy
Tidelands CANARX International Pharmacy includes hundreds of brand name medications. Find out if your medication is available for FREE through the voluntary international pharmacy at www.canarx.com and use: WebID: TIDELANDS.
Retail Pharmacy Network
You must use network pharmacies to receive benefits from your plan. For a complete listing of participating pharmacies, visit www.proactrx.com or call 877-635-9545. All major and many smaller pharmacies are included in the ProAct network of pharmacies.
Noble Health Services Specialty Pharmacy
Specialty medications often require a little extra attention and may cost substantially more than traditional medications. Fill Specialty medications at Noble Specialty Pharmacy, and Noble applies for co-pay assistance on your behalf. Connect with Noble Signature care at 888-843-2040 or by visiting www.noblehealthservices.com.
Guided Help to Save on Prescriptions
Counter Health
Counter has teamed up with ProAct, your Pharmacy Benefit Manager, to help you save up to $2,000 a month on your medications, at no extra cost. Activate your account at my.counterhealth.com/signup. When you do, you can review your personalized savings opportunities, accept savings recommendations, track your progress, and more. If you have questions or need help signing up, call Counter’s Member Care Team at 833-603-3864.
ProActPLUS
ProActPLUS works in the background to automatically find and enroll you in drug manufacturer financial assistance programs that decrease your copays on certain medications. If you have an opportunity to save via ProActPLUS, you may receive a phone call from the ProAct team on steps to take. It is important to respond to the reach out by calling ProAct’s toll-free, 24/7/365 Help Desk at 877-635-9545 to ensure you do not experience delays in getting medications filled.
Comparison of In-Network Prescription Drug Coverage
| Tideland Family Pharmacy | Network Retail Pharmacy | CVS and Walgreens | |
|---|---|---|---|
| Retail (30-day supply) Generic Preferred Brand Non-Preferred Brand Specialty |
$5 copay $35 copay $60 copay 30% up to $150 maximum |
$25 copay $55 copay $80 copay 30% up to $200 maximum |
$25 copay $55 copay $80 copay 30% up to $300 maximum |
| You save when your doctor prescribes 90-day fills versus 30-day fills for maintenance medications. You pay… | |||
| Mail Order (90-day supply) Generic Preferred Brand Non-Preferred Brand |
$12.50 copay $50 copay $80 copay |
$25 copay $75 copay $110 copay |
N/A Free to you N/A |
Dispense-As-Written (DAW) Provision
If you choose a brand name drug when a generic is available, the DAW provision requires that you pay the cost difference between the brand and generic drug, plus the copay. Generic equivalent drugs have the same active ingredient(s) as their brand name counterparts but cost much less.
Diabetic Supplies
Visit the Tidelands Health Family Pharmacy to discuss diabetic supplies and find the most cost-effective option that meets your or your dependent(s) health care needs. You may also call ProAct at 877-635-9545.