Human Resources: Benefits & Wellness / Pharmacy Benefits

Pharmacy Benefit - Navitus Health Solutions

Navitus Customer Care (available 24/7)

Toll-free at 1-855-673-6504

TTY (toll-free) 711

Mail Order Program - NoviXus

*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 Covered Person	OUT OF POCKET MAXIMUM		GENERIC	PREFERRED	NON-PREFERRED
	INDIVIDUAL Per Covered Person	FAMILY
$400	$2,150	$4,300	40%	40%	60%

CUSTOM PATHWAY
DEDUCTIBLE Per Covered Person	OUT OF POCKET MAXIMUM		GENERIC	PREFERRED	NON-PREFERRED
	INDIVIDUAL Per Covered Person	FAMILY
$250	$2,150	$4,300	30%	30%	50%

ENHANCED PATHWAY
DEDUCTIBLE Per Covered Person	OUT OF POCKET MAXIMUM		GENERIC	PREFERRED	NON-PREFERRED
	INDIVIDUAL Per Covered Person	FAMILY
$100	$2,100	$4,200	20%	20%	40%

Additional Resources:

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Human Resources: Benefits & Wellness