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Pharmacy Benefit - Navitus Health Solutions
Navitus Customer Care (available 24/7)
Toll-free at 1-855-673-6504
TTY (toll-free) 711
Website: www.navitus.com
Mail Order Program - NoviXus
Sign up online at www.novixus.com or by calling NoviXus at 1-888-240-2211.
*Please allow 10 to 14 calendar days from the day you submit your order to receive your medicine(s).
Click HERE for more information on the Mail Order Program.
Specialty Pharmacy Program - Lumicera Health Services
The Navitus SpecialtyRx program serves members who take medicine(s) for certain chronic conditions.
To order a new prescription simply call Lumicera at 1-855-847-3553.
Click HERE for more information on the Specialty Pharmacy Program.
Overview of Pharmacy Benefits
For additional information, click HERE to see the 2019 Summary Plan Description.
There is no Coordination of Benefits for Pharmacy Benefits.
BASIC PATHWAY
DEDUCTIBLE
Per CoveredPersonOUT OF POCKET MAXIMUM
GENERIC
PREFERRED
NON-PREFERRED
INDIVIDUAL
Per Covered PersonFAMILY
$400
$2,150
$4,300
40%
40%
60%
CUSTOM PATHWAY
DEDUCTIBLE
Per CoveredPersonOUT OF POCKET MAXIMUM
GENERIC
PREFERRED
NON-PREFERRED
INDIVIDUAL
Per Covered PersonFAMILY
$250
$2,150
$4,300
30%
30%
50%
ENHANCED PATHWAY
DEDUCTIBLE
Per CoveredPersonOUT OF POCKET MAXIMUM
GENERIC
PREFERRED
NON-PREFERRED
INDIVIDUAL
Per Covered PersonFAMILY
$100
$2,100
$4,200
20%
20%
40%
Additional Resources: