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.
Frequently Asked Questions About Pharmacy Benefits
On Jan. 1, 2024, AdventHealth launched a partnership with CVS/Caremark to replace MedImpact as the pharmacy benefit manager (PBM) for our team member health plan.
The FAQs below may answer team members' questions about this new partnership and how it impacts their pharmacy benefit use.
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Q:Question: Does AdventHealth’s new partnership with CVS/Caremark affect how I use my pharmacy benefit?
A:Answer:No. This administrative change will not impact how you use your benefit. Rx Plus Pharmacy will continue to be your provider for maintenance and specialty medications. As the new PBM, CVS/Caremark processes team member claims for Rx Plus Pharmacy orders.
Continue ReadingCollapse AnswerYou will continue using your existing Rx Plus Pharmacy account while enjoying the same experience you have come to know and trust.
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Q:Question: Am I required to fill my prescriptions through CVS?
A:Answer:No. Rx Plus Pharmacy remains your pharmacy for filling maintenance medications, specialty drugs, and mail-order prescriptions. Prescriptions for maintenance medications must be filled with Rx Plus Pharmacy.
Continue ReadingCollapse AnswerYou may continue using retail pharmacies, such as CVS, Walgreens or another local retail pharmacy, to fill one-time medications like antibiotics.
Maintenance prescriptions for controlled substances may be filled by your local retail pharmacy or Rx Plus Pharmacy.
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Q:Question: What is the most efficient way to fill my current maintenance prescriptions?
A:Answer:The most efficient way to fill a current maintenance prescription is online through MyAdventHealthRx.com by clicking on Refill Request.
Continue ReadingCollapse AnswerYou can order a refill of your prescription up to a month in advance, or you can opt into auto-refill services that will automatically initiate the processing of your refill 30 days before it is due by emailing [email protected]. Taking these steps will help to reduce delays you may experience.
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Q:Question: Do I need to register online to use my pharmacy benefit?
A:Answer:No. You may disregard the sticker on your new pharmacy ID card, as online registration is not required for the pharmacy benefit. Your new CVS/Caremark pharmacy ID card is ready for use without further action, and your existing Rx Plus Pharmacy login remains valid.
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Q:Question: Do I need to submit a new prior-authorization (PA) for my medications this year? Are my current medications still covered?
A:Answer: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.
Continue ReadingCollapse AnswerPlease note that weight loss and fertility drugs remain excluded from coverage.
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Q:Question: How do I find out if my medication is covered?
A:Answer: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.
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Q:Question: Where can I access my member ID cards to use my pharmacy benefit at a local retail pharmacy?
A:Answer:If you didn’t receive an ID card by mail, you can request one by contacting plan member support via email or phone:
- Email (preferred): [email protected]
- Phone: 866-943-4535 (Available Monday to Friday, 8 am to 8 pm Eastern)
Customer Service
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Q:Question: I’ve received a message that my payment method and/or other demographic information needs to be updated. How do I update my information?
A:Answer:To update your payment method or any demographics, you can complete this form online. If you prefer to provide the information over the phone, please call Call866-943-4535, Monday to Friday, 8 am to 8 pm Eastern.
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Q:Question: I called Rx Plus Pharmacy for assistance and encountered a long wait time. What steps are being taken to resolve this issue?
A:Answer:Our AdventHealth Rx Plus Pharmacy team has been working diligently to address member concerns, and staffing and service improvements are in place to ensure you receive assistance in a timely manner. Current wait times have improved significantly.
When you call, you will be provided with an estimated hold time and will be given the option of holding or leaving a voicemail message.
If your request is non-urgent, please contact us by email at [email protected].
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
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Q:Question: I haven’t received my order yet. Where can I check the status?
A:Answer:The easiest way to check the status of your order is to visit the online refill portal here: Rx Plus Pharmacy Web Refill. 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 [email protected].
In the online portal, your order status will show one of the following:
Received means your prescription or refill request has been received and entered in the Rx Plus Pharmacy system.
In Process means the prescription is going through the workflow steps (pharmacist verified > insurance billing > payment collected > prescription fulfillment > pharmacist approved).
Shipped means your prescription has shipped, and you should receive it in approximately 3-5 business days.
Deleted means your payment method was denied and you have not responded to outreach requesting an updated payment method. Note: Rx Plus Pharmacy will hold prescriptions without payment for 7 days.
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Q:Question: How long will it take to receive my order?
A:Answer:Rx Plus Pharmacy will deliver your medications within 8 days (excluding weekends and shipping).
To avoid delays, please ensure you have provided the correct method of payment on your profile.
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Q:Question: Do you provide auto-refills?
A:Answer:Yes. The Rx Plus Pharmacy auto-refill service automatically initiates the processing of your refill 30 days in advance. We highly recommend this option to reduce delays in receiving your medication.
To opt in and receive this service, please email [email protected].
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Q:Question: What is the quickest and easiest way to fill my current prescriptions? Can I order a refill online?
A:Answer:Filling your prescription online is the most efficient way to fill a current prescription. Please visit Rx Plus Pharmacy Web Refill and log in. In the online portal, you will have the option to link any dependent profiles, manage refills and view the order status for yourself and any dependents.
Note: Profiles are only accessible through the portal if you / your dependent(s) have an active account with Rx Plus Pharmacy. First-time users can register at New Patient Registration | AdventHealth Rx Plus Pharmacy.
You can order a refill of your prescription up to a month in advance through the online portal.
Coverage, Copays and Additional Cost Support
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Q:Question: I take specialty medications. Is there additional assistance available for covering the cost?
A:Answer:Yes. The PrudentRx program is available for those enrolled in the Traditional Plan who use specialty medications. Once enrolled, your copay for qualifying specialty medications will be $0.
Eligible Traditional Plan members should have received a letter from PrudentRx on behalf of CVS/Caremark with more information about this program. If you received a letter and have not enrolled, please do so by calling Call800-578-4403.
Note: This program is not available for Health Savings Plan (HDHP) members.
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Q:Question: I am diabetic. Is there additional assistance available for covering the cost of my supplies?
A:Answer: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.
- Email (preferred): [email protected]
- Phone: Call866-943-4535 (M-F, 8 am – 8 pm EST)
The Accu-Chek Guide Me glucometer is a reliable and easy-to-use blood glucose monitoring system that can help members manage diabetes.
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Q:Question: I have a copay card. How do I add it to my file?
A:Answer: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 [email protected], or call Call866-943-4535, 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.
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Q:Question: Why did my copays increase?
A:Answer:In January 2024, CVS/Caremark became our new pharmacy benefit manager (PBM), and some medications covered by the health plan may have changed or may have a different copay. Click to view Copay Structure and Preferred Formulary Drug List.
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Q:Question: How do I find out if my medication is covered?
A:Answer: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.