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With some prescription drug plans there may be another consideration to keep in mind. You also may have what’s called a preferred pharmacy network.
If a preferred pharmacy network is part of your benefits, you’ll save the most money when you fill your prescriptions at preferred pharmacies.
Here’s a quick overview to help you understand the differences.
Preferred Pharmacy* |
In-network Pharmacy |
Out-of-network Pharmacy |
Most cost savings Lowest out-of-pocket |
Some Savings Lower out-of-pocket |
No savings Highest out-of-pocket |
$ |
$$ |
$$$ |
*Does not apply to all pharmacy benefit plans. See your plan materials for details.
To find an in-network pharmacy, sign in to myprime.com or call the number on the back of your member ID card.
If you’ve been using a pharmacy that isn’t in-network, it’s easy to switch. To move an existing prescription or remaining refill to a new pharmacy, do one of the following:
1. Take your prescription bottle or bag to your new pharmacy
2. Call your new pharmacy and ask them to contact your current pharmacy
3. Ask your doctor to contact your new pharmacy
Ask your doctor to send any new prescriptions to your new network pharmacy. Bring your member ID card with you if it’s your first visit to the pharmacy or if you have changed health insurance plans.
Learn more about the Preferred Pharmacy Network.
Originally published 2/1/2017, Revised 2018, 2019, 2021, 2023
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