True Rx AnswersHow does True Rx benefit me?
The prescription drug benefit offered to employees is an important and valuable component of a healthcare package. True Rx teams with the employer and employee to ensure the greatest value of this benefit at the lowest cost.
There are more than 60,000 pharmacies nationwide (retail and independent) that are contracted with True Rx. Click here for our Pharmacy Locator to find pharmacies in your area. You can also contact True Rx at (866) 921-4047 and let a Customer Service Representative assist you with your search. If your pharmacy is not listed in the Pharmacy Network, a representative at True Rx can contact that pharmacy to inquire about joining our network.
Most plans have a Preferred Drug List. This is a list of preferred medications based on clinical efficacy and safety, as well as cost. Another way to refer to the Preferred Drug List is called a “formulary.” Both are a list of medications that are covered by your plan. To view our standard preferred drug list, please click here.
Our Customer Service team can tell you your co-pay and/or deductible requirements. Please contact them at (866) 921-4047 or online by emailing firstname.lastname@example.org. You can also contact your plan administrator/HR department for plan specifics.
The pharmacies in our nationwide network have agreed to provide pharmacy-related products and services for a defined reimbursement rate. Therefore, your cost (co-payment) should be the same at all network pharmacies.
A Prior Authorization is the process in which information regarding a certain medication is gathered and evaluated to determine if the plan will cover their portion of the cost of the medication. Some plans set limits on certain medications due to age, efficacy, cost, and availability.
This can be accomplished in a few different ways. You may ask your prescriber to write a new prescription for you to take to the pharmacy, or your prescriber can call the prescription in for you. Or, if you prefer, True Rx would be happy to contact your prescriber’s office and ask the staff to call the new prescription in to the pharmacy of your choice.
Yes, this can be done by mailing in a copy of the prescription receipt and a Drug Claim Form to True Rx. Any reimbursement due will be mailed directly to you.
Please contact your plan administrator or human resources/benefits department to submit your request.
A Specialty Drug is a drug that targets and treats specific complex conditions or illnesses such as cancer, rheumatoid arthritis, multiple sclerosis, hepatitis C, and HIV/AIDS. Specialty Drugs require patient-specific dosing and careful clinical management.
Because Specialty Drugs require special clinical monitoring, they are typically not dispersed through a traditional retail pharmacy; therefore some medications have to be dispensed through specialty pharmacies. Please contact True Rx’s Customer Service at (866) 921-4047 for more information regarding our Specialty Drug program.
Please click here for a list of Patient Assistance Programs or contact True Rx at (866) 921-4047 and let a Customer Service Representative connect you to the right program for your needs.
There are many different “diabetic supplies” but the most commonly referred to supplies are: test strips, lancets, syringes, and devices. Many other diabetic items could be classified under “Durable Medical Equipment” (DME). Plans vary as to which diabetic supplies are covered under the prescription portion and the Major Medical portion of their plan.