Prescription Plan
RxBenefits powered by Express Scripts
Prescription drugs are included in your health plan coverage. Prescription drugs considered preventive care are covered at no cost to you. The network of pharmacies included in the health plan can be accessed by contacting RxBenefits or creating your Express Scripts account to search online or through the mobile app.
| Prescription Drugs | HDHP 1 | HDHP 2 | Copay Plan | ||||||
|---|---|---|---|---|---|---|---|---|---|
| Prescription Drugs | HDHP 1 | HDHP 2 | Copay Plan | ||||||
| In-Network | Out-of-Network | In-Network | Out-of-Network | In-Network | Out-of-Network | ||||
| ACA Preventive Drugs | You pay $0 | N/A | You pay $0 | N/A | You pay $0 | N/A | |||
| Generic | You pay 20% | N/A | You pay 20% | N/A | You pay $10 | N/A | |||
| Brand | You pay 20% | N/A | You pay 20% | N/A | You pay $35 | N/A | |||
| Specialty | You pay 20% | N/A | You pay 20% | N/A | You pay $150 | N/A | |||
| Non-Preferred Brand | You pay 20% | N/A | You pay 20% | N/A | You pay $70 | N/A | |||
RxBenefits is a separate pharmacy manager from Anthem of WI, however all your information is conveniently included on the same ID card. RxBenefits utilizes Express Scripts to fill your medications.
What is a formulary?
A formulary is the list of drugs that are covered by the health plan. Having a list of preferred drugs allows the health plan to better manage costs. If you learn that a drug prescribed is not included on the formulary, please work with your provider to review the equivalent brands available on the formulary. Contact RxBenefits for assistance.
Understanding your Coverage
RxBenefits is a separate pharmacy manager from Anthem of WI, however all your information is conveniently included on the same ID card. RxBenefits utilizes Express Scripts to fill your medications.
RxBenefits
800-334-8134
CustomerCare@RxBenefits.com
• Access real time prior authorization status
• Claim status
• Benefit details and coverage questions
• Pharmacy network look-up
• Mail and specialty scripts
Express Scripts
www.express-scripts.com
Mobile app: Express Scripts
• Compare prices of medicines at multiple pharmacies
• Pharmacy network look-up
• Request mail order and check status
• Refill and renew prescriptions
Filling a Prescription
Utilize your Anthem of WI ID card to fill a prescription at the pharmacy. If you are told the plan does not cover your prescription, please contact RxBenefits for clarification. It could be a prior authorization is needed before a prescription is filled or it’s possible the drug is not included on the formulary and your provider needs to prescribe a different brand.
To receive prescriptions via mail order, contact your doctor to request a 90-day prescription and they can e-prescribe it directly to Express Scripts. If you already have a 90-day prescription, create your online account with Express Scripts and locate the mail order form under “Forms & Cards”, and follow the instructions on the form
Free International Mail Order Rx
CANARx
CANARx allows members of the Agropur Health Plan to receive brand name medications at no cost to you. The medications are available through international pharmacies in Canada, the United Kingdom and Australia. If you are taking an eligible medication and choose to enroll, the medication can be shipped directly to your home in the manufacturer’s original sealed container.
Examples of common medications available
Eliquis
Xarelto
Symbicort
Jardiance
Advair
Januvia
Ventolin
Farxiga
Flovent
RxBenefits 2025 Preventive CDH StandardPlus
Rx Benefits - 2025 ACA Drug List - Standard Offering
Who is RxBenefits
RxBenefits Pharmacy FAQ
Express Scripts Mail Order
RxBenefits Member Services
Express Scripts Mobile App
Video: Prescription Drug Benefits
