Pharmacy Benefits Plan

Our Pharmacy Benefits Your Whole Health

Our AdventHealth Rx Plus Pharmacy gets you the prescriptions you need when you need them. Learn more about the benefits of using our employee pharmacy, including the current formulary, copay tiers and how to get your maintenance medications delivered right to your front door.

Need to find out if your medication is covered? You can check the current formulary — a list of covered medications — to see if your medication is on the list.

Please note that weight-loss medications are not covered by our team member benefit plan.

Preferred Formulary Drug List

Frequently Asked Questions About Pharmacy Benefits

  • How does the partnership between AdventHealth and CVS Caremark affect how I use my pharmacy benefit?

    As our Pharmacy Benefit Manager, CVS/Caremark processes team members claims for Rx Plus Pharmacy orders. AdventHealth's Rx Plus Pharmacy remains your pharmacy for the filling of maintenance, specialty drugs, and mail-order prescriptions.

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  • Am I required to use CVS Pharmacy for the prescriptions I am approved to fill locally?

    No. Member's may use the local pharmacy of their choice to fill their short term, over the counter, and controlled substance medications. Any maintenance or specialty medications should be filled by AdventHealth's Rx Plus Pharmacy.

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  • Do I need to submit a new prior-authorization (PA) for my medications this year? Are my current medications still covered?

    Medications covered by the team member's health plan may have changed or have a different copay. If these changes impact you, you will receive a letter explaining next steps, as you may need to coordinate a medication change with your prescribing health care provider.

  • How do I find out if my medication is covered?

    The formulary — a list of covered medications — is available on the Rx Plus Pharmacy website, where you can reference the full list of covered medications.

  • Where can I access my member ID cards to use my pharmacy benefit at a local retail pharmacy?

    If you didn’t receive an ID card by mail, you can request one by contacting plan member support via email or phone:

  • How can I update my personal information or payment method?

    To update your home address, phone number or email address log into your AdventHealth portal and update via MyChart. https://account.adventhealth.com/login

    To add a temporary or prescription only address, that is different from your home address, give us a call at 866-943-4535.

    To update your method payment on file:

    Adding for the first time: Visit our website and utilize our Update Information form or call us at 866-943-4535

    Updating your card: Visit MyChart when you refill your prescription to add or update your credit card, making sure to check off the box for "Save for Future Use". You can also call us at 866-943-4535.

The Information You Need and the Care You Deserve

Find forms, review our policies and learn more about the pharmacy services we deliver to AdventHealth employees across the country.

Prescription Orders and Refills

  • I haven’t received my order yet. Where can I check the status?

    The easiest way to check the status of your order is to visit your AdventHealth Account (patient portal). Simply register and follow the navigation to view your order status or to request refills. If you still have questions or concerns, please contact Rx Plus Pharmacy via email at RxPlus.Pharmacy@AdventHealth.com.

    Status of medication: You can check the status of your medication in your AdventHealth Account:

    • In progress – Medication request has reached the pharmacy and is being worked on
    • Delay notifications – Medication not in stock/insufficient inventory, prior authorization required, refilled too soon, etc
    • Shipping notification with tracking URL

  • How long will it take to receive my order?

    Once we receive your prescription, Rx Plus Pharmacy typically processes and ships your medication from our location within 2 to 5 business days. This timeframe includes a buffer for any necessary clarifications we may need from the provider or patient before we can dispense and ship your order.

    Once your shipping label has been created, you’ll receive tracking information via email or text message, depending on your MyChart notification preferences. Please note that shipping times may vary based on the carrier used (DHL, USPS, FedEx) and the destination region.

  • Do you provide auto-refills?

    Yes! For your convenience, Rx Plus Pharmacy offers an auto refill program. To learn more about the program or request enrollment, please call us at 866-943-4535 or email RxPlus.Pharmacy@AdventHealth.com

  • What is the quickest and easiest way to refill my current prescriptions?

    Our self service options online via MyChart and our automated refill line are the most efficient options to fill a current prescription.

    To fill online, log into your patient portal, https://account.adventhealth.com/login; where you will have the option to link any dependent profiles, manage refills and view the order status for yourself or any dependents. Note: Profiles are only accessible through the portal if you/your dependent(s) have an active account with Rx Plus Phramacy. Then follow the prompts to set up your AdventHealth Rx Plus Pharmacy MyChart account.

    To utilize our automated refill line, call 866-943-4535 Option #2. You will be asked to verify your current address and method of payment on file.

    If you prefer to reach out to our team directly call 866-943-4535 or email us at RxPlus.Pharmacy@AdventHealth.com.

    You can order a refill of your prescription 36 days in advance for a 90- day supply and 12 days in advance for a 30-day supply.

Coverage, Copays and Additional Cost Support

  • I take specialty medications. Is there additional assistance available for covering the cost?

    Some AdventHealth members receiving specialty medication from Rx Plus Pharmacy may qualify for $0 copays after their deductibles have been met.

  • I am diabetic. Is there additional assistance available for covering the cost of my supplies?

    As of April 1, 2024, diabetic patients (Type 1 or Type 2) can receive an Accu-Chek Guide Me glucometer, test strips and lancets for a $0 copay by taking the following steps:

    • Ask your provider to provide a new prescription for Accu-Chek Guide Me test strips and lancets to Rx Plus Pharmacy.
    • Contact Rx Plus Pharmacy to request a new Accu-Chek Guide Me glucometer. Note: Free glucometers may take two weeks to ship.

    The Accu-Chek Guide Me glucometer is a reliable and easy-to-use blood glucose monitoring system that can help members manage diabetes.

  • I have a copay card. How do I add it to my file?

    Copay cards are offered by manufacturers to offset the out-of-pocket cost of medications. If you have a copay assistance card provided by your drug manufacturer that you would like to apply to your copay to reduce the cost of your brand name medication, you may either email a picture of the card or the processing information (BIN/PCN/Group/ID) to RxPlus.Pharmacy@AdventHealth.com, or call 866-943-4535, Monday through Friday, 8 am to 8 pm EST.

    While manufacturer copay assistance cards help save you money, the funds provided from manufacturer copay assistance do not apply toward your deductible or out-of-pocket maximum.

  • Why do I see an increase in my copay?

    Copays may fluctuate due to factors such as distributor pricing, formulary updates, or changes in your dosage or quantity. Typically, you won’t see a significant change in your copay from one fill to the next within the same benefit year. However, if your copay does increase substantially, we will notify you directly. For copays over $100, our team will reach out to you to get approval for your first fill. Once you approve it, we will not reach out unless it increases more than $20. For copays under $100, we will only contact you if there is a change of more than $20 from your last fill.

  • How do I find out if my medication is covered?

    The most recent list of covered medications and their copay tiers is always available for reference on the Rx Plus Pharmacy website under Pharmacy Benefits by clicking on Preferred Formulary Drug List.