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Prescription Drug Benefits

MedImpact

MedImpact is the pharmacy benefit manager for the Seton Healthcare Network Employee Health Plan. To learn more about your prescription benefit plan call MedImpact Customer Service at 1-800-788-2949 or visit them on the web at www.medimpact.com/members and follow the registration prompts.  Website information includes the following:

  • Benefit Highlights displays your current copayment amounts and any deductible and maximum out-of-pocket expenses.
  • Formulary Lookup presents a list of medications, defines the formulary status of each medication and assists you in finding lower-cost alternatives within a drug class. You can also obtain a cost estimate for a specific medication.
  • With PersonalHealth Rx, you can look up your prescription history and print out a 28-month report of past usage to share with your physician or reference it for tax and flexible spending account purposes.

MedImpact Prescription Drug Claim Form (pdf)

MedImpact Web Site Tips (pdf)

Formulary

Mail Order Program

Specialty Pharmacy Program

Pharmacy Benefit Frequently Asked Questions

What is Step Therapy? (pdf)

Medication Prior Authorization (pdf)

Appeal/Grievance Form (pdf)

Summary Plan Description (pdf)

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