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Prescription drug resources

If your health plan includes prescription drug coverage, you have several easy ways to manage—and save money on—your medications, such as: mail order pharmacy, prescription drug discounts, medication therapy management, and our specialty pharmacy program.

Prescription drug resources

Mail order prescription drug service

Most plans allow you to order up to a 90-day supply on many covered medications and have them delivered to you, with free standard shipping. It’s convenient, and refills are easy. 

Get started by contacting CVS Caremark:

Medication Therapy Management (MTM) program

Do you have chronic conditions for which you take multiple medications? Talking with an experienced pharmacist can help you keep your medications on track.

Through our Medication Therapy Management (MTM) program, specially trained pharmacists offer phone assistance if you have multiple, ongoing prescriptions and conditions. Participation is voluntary, and there’s no cost to you.

Working together with you and your doctor, your MTM pharmacist will help make sure you’re getting the best results from your medications, while keeping your out-of-pocket costs down.

MTM can help you:
  • Identify duplications and conflicts in your prescriptions
  • Organize your medication schedule
  • Avoid problematic interactions between your prescriptions and over-the-counter medications or dietary supplements
  • Save money

“Partial Fill” allows you to try out your new prescription

Our partial fill program serves as a trial period to see if a certain drug is the right match. Qualifying drugs are often those associated with high cost, side effects, and long-term tolerance problems. By setting up a partial fill on your first fill, you’re sent home with a limited amount for half the normal copay.

A week into the first fill, a Caremark Specialty Care Team pharmacist or nurse will contact you. They will ask about overall treatment, the drug’s side effects and how well your body is tolerating the prescription. If the trial period is a success, you’ll continue the drug. After this initial trial, all future fills will be for the full amount.

On our drug lists, partial-fill drugs are identified by “Partial Fill” in the Restrictions column.

Partial-fill drugs include:
  • Afinitor
  • Bosulif
  • Erivedge
  • Gleevec
  • Inlyta
  • Jakafi
  • Nexavar
  • Odomzo
  • Sprycel
  • Sutent
  • Tafinlar
  • Tarceva
  • Targretin
  • Tasigna
  • Votrient
  • Xalkori
  • Xtandi
  • Zolinza
  • Zykadia
  • Zytiga

Specialty Pharmacy program

If you take certain specialty and biotech drugs to treat chronic or genetic disorders, our partnership with CVS Caremark helps ensure that you maximize your health plan benefits. The program is designed to assist PacificSource members with the following health conditions:

  • ​​​​​​Asthma
  • Crohn’s disease
  • Enzyme replacement
  • Gaucher disease
  • Growth hormone deficiency
  • Hematopoietics
  • Hepatitis C
  • Hormonal therapies
  • Immune disorders
  • Multiple sclerosis

  • Oncology

  • Psoriasis

    • Pulmonary arterial hypertension

    • Pulmonary disease (COPD)

    • RSV prevention

    • Rheumatoid arthritis

    See the PacificSource Find a Drug page. Our comprehensive drug list includes specialty drugs covered under the program.

    What can you expect from Specialty Pharmacy Services?
    • Personal attention from a pharmacist-led CareTeam that provides condition-specific education, medication administration instruction, and expert advice to help newly diagnosed patients manage their therapy

    • Easy access to pharmacists and other health experts 24 hours a day, seven days a week
    • Easy ordering with a dedicated toll-free number
    • Confidential and convenient delivery to the location of your choice, whether it’s your home, vacation spot, or doctor’s office

    PacificSource members whose medications are covered under this program are contacted and invited to participate.

    Save with our prescription discount program

    When you have prescription drug coverage included with your health plan, most medications are covered. Of course, there are some exceptions.

    In these cases, if your plan uses our Preferred Drug List (PDL), our prescription drug discount program can help.

    Because the program is not an insurance plan, there are no claim forms and you can use the discount program as often as you like.

    NOTE: this program is not available with all plans.

    Getting a discount is simple. Here’s how:
    • Visit a participating in-network pharmacy and show your PacificSource ID card when you drop off your prescription. 
    • If the drug is not covered under your plan, a discount is automatically taken off the cash price of the prescription, and you pay the discounted price.
    Looking for a pharmacy?

    See our Find a Pharmacy page.

    Questions?

    If you have questions about these programs, or your prescription drug benefits, we’re happy to help.

    Contact us