If you enroll in the City’s medical plan, you will automatically receive prescription drug coverage through Liviniti (formerly Southern Scripts), the City’s pharmacy benefit manager (PBM). You will need to create an account on Liviniti.com to gain access to a variety of PBM services including drug formulary options. You may also refer to plano.gov/benefits for more information.
Retail Pharmacy
The retail prescription program uses a network of participating pharmacies. To receive the highest level of benefits, you must use a participating pharmacy. When thinking about filling your maintenance medications, look for a First Choice Pharmacy where you can get a 3-month supply for the cost of a 2-month supply.
Liviniti
Customer Service: (answers as Pharmacy Benefits)
800-710-9341 | fax: 318-214-4190
Monday-Friday: 6:30 a.m. to 8:00 p.m. CST
Saturday: 8:00 a.m. to 5:00 p.m. CST
Sunday: 8:00 a.m. to 4:00 p.m. CST
24/7/365 on-call emergency service available
liviniti.com
Mail-Order Pharmacy
The mail-order pharmacy offers a convenient and cost effective way to fill your maintenance medications. You can get a 3-month supply for the cost of a 2-month supply delivered directly to your home. To order prescriptions through the mail-order program, you must fill out and return a mail-order form with a prescription from your doctor for a 3-month supply and your payment.
Postal Prescription Services (Mail-Order Pharmacy)
Customer Service: 800-552-6694
Monday-Friday: 6:00 a.m. to 6:00 p.m. PST
Saturday: 9:00 a.m. to 2:00 p.m. PST
Sunday: Closed
ppsrx.com
Prescription Drug Coverage
Annual Deductible: $100 per Individual / Family
*The deductible must be satisfied every calendar year before the Coinsurance and Copays below.
| Prescription Drug Tier | Retail Pharmacy (1-Month Supply) | Retail - First Choice Pharmacy (3-Month Supply) | Mail Order (3-Month Supply) |
|---|---|---|---|
| Tier 1 | 15% Coinsurance Maximum Copay: $15 | 15% Coinsurance Maximum Copay: $30 | 15% Coinsurance Maximum Copay: $30 |
| Tier 2 | 25% Coinsurance Maximum Copay: $45 | 25% Coinsurance Maximum Copay: $90 | 25% Coinsurance Maximum Copay: $90 |
| Tier 3 | 40% Coinsurance Maximum Copay: $60 | 40% Coinsurance Maximum Copay: $120 | 40% Coinsurance Maximum Copay: $120 |
| Specialty | $100 copay | N/A | N/A |
Specialty Medications
When managing a serious health condition, the CRX Specialty Pharmacy can provide you with personalized support throughout the course of your treatment. Registered pharmacists and nurses are available 24/7 to help you understand your treatment regimen, discuss side effects, check for drug interactions, review lab results, manage your medication supply, and coordinate care with your physician.
Variable Copay Program
This program utilizes manufacturer coupons to significantly reduce the cost of eligible medications for you and the City. Here’s an example of how it works if you were to fill a 30-day supply of Humira:
Example :
Retail Pharmacy Copay = $100
Manufacturer Discount = ($95)
Your Copay = $5
To see if your medication qualifies for a reduced copay, contact CRX Specialty Solutions at 877-646-1716, Monday-Friday, 8:00 a.m.-5:00 p.m. CST (24/7/365 on call emergency service available) or visit www.crxspecialty.com.
Prescription Drug Cost Savings
Pill Pack
Are you taking several different medications at various times of the day? Make it simple by using PillPack by Amazon Pharmacy. PillPack will transfer your existing prescriptions, conveniently package your medications by the time of day you need to take them, and ship them to your door (free delivery). Sign up online at pillpack.com.
International Mail-Order for Maintenance Medications
PlanoCRX is an international mail-order option after you have tried a brand name medication for at least 30 days. If your medication qualifies, you would pay a $0 copay for each 3-month supply. To learn more , enroll online, and see the full list of covered medications go to crxintl.com (Web ID: PLANO) or call 866-488-7874.
GoodRx
This online resource gathers prescription drug prices from more than 70,000 pharmacies across the U.S. to provide consumers with cost comparisons. This money-saving tool is available to anyone via website at goodrx.com or mobile app. Once you enter your medication and dosage, you will see prices at various local pharmacies and what discounts and coupons are available.
