Pharmacy Benefit and Formulary Information
HIRSP members have access to high quality prescription drug benefits at a reasonable cost. In this area you will find information about the drug formulary, which is a list of covered or reimbursable drugs approved for use by HIRSP members. You can also find information on how to receive prior authorization for certain prescriptions, as well as drug claim forms.
Currently, HIRSP members are required to pay either a $10 or a $40 co-payment depending on the prescription drug they are purchasing. In most cases, $10 co-payments are required for generic or low-cost brand name drugs, while $40 co-payments are required for most brand name drugs and some high-cost generic drugs. Please note that HIRSP Medicare Supplement members must use their Medicare Part-D formulary and NOT the HIRSP formulary when purchasing medications. Therefore, all generic medications on your Part-D formulary will be charged a $10 co-payment and all brand name drugs on your Part-D formulary will be charged a $40 co-payment.
MedTrak Pharmacy Services
For formulary and pharmacy benefit information please visit the HIRSP Pharmacy Benefit Administrator's site:
HIRSP Dedicated Pharmacy Unit
1-800-757-5576
Monday through Friday 8:00 a.m. - 9:00 p.m. CST
Saturday 9:00 a.m. - 6:00 p.m. CST
Drug recalls and notices
- Actavis Totowa LLC has issued a recall of all Digitek® (digoxin) tablets for oral use
-
Duragesic, sold by PriCara, voluntarily recalled
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