Human Resources: Benefits & Wellness / Pharmacy Benefits 2024

Pharmacy Benefits

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Navitus Customer Care (available 24/7)

Toll-free at 1-855-673-6504

TTY (toll-free) 711

Mail Order Program - Birdi

Please allow 10 to 14 calendar days from the day you submit your order to receive your medicine(s).

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 Summary Plan Description. See Note below.

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%

Note: There is no Coordination of Benefits for pharmacy benefits.

Additional Resources:

Return to Main Benefits & Wellness Page

Human Resources: Benefits & Wellness