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New Pharmacy Benefit Offers Members Seamless Savings

Mar 16, 2023
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As rising prices for everything from gasoline to eggs continue to squeeze household budgets, families might feel even more pressure when it comes to paying for prescriptions.

About 30 percent of Americans recently surveyed said they have skipped or cut doses for prescribed medications—or substituted an over-the-counter drug without telling their doctor—because of the cost, according to a 2022 Kaiser Family Foundation poll.

Community Health Options may be able to ease some of that financial pressure with a new prescription program  that could save Members money at the pharmacy counter.

Price Assure, offered through Community Health Options’ pharmacy benefit manager, Express Scripts®, helps Members reap any potential savings on generic medications when they fill prescriptions at an in-network retail pharmacy. Price Assure is a collaboration with GoodRx, a digital platform that provides access to lower prices for brand and generic medications.

This means Members automatically save on generic medications when they take their prescriptions to in-network pharmacies that also accept GoodRx. So, when GoodRx offers a lower price,  that’s what Members pay. Because it’s processed through Express Scripts, the prescription automatically processes with the savings, while applying the cost to the Member’s deductible, accumulator and out-of-pocket costs—all without having to sign up for a separate GoodRx card*.

To find an in-network pharmacy, Members can go to the Medications tab of their Member Portal dashboard on the Community Health Options website. Members will need to confirm that the pharmacy accepts GoodRx. If you have questions about the Price Assure program, please call our Maine-based Member Services team at (855) 624-6463 from 8 a.m. to 6 p.m., Monday through Friday.

 

*While Price Assure provides access to discounted pricing on some generic medications, Members could see lower prices listed on GoodRx’s website and app for those who sign up for GoodRx’s discount programs. However, those using a GoodRx card outside of the pharmacy plan should be aware that they’ll miss medication safety checks and will need to submit a prescription reimbursement form to have the expense applied to their accumulators.

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Eleven small Maine nonprofits have received more than $50,000 in funding through Community Health Options’ Wellbeing Grants to support projects that promote physical and mental health across the State of Maine, the company announced today.