Prescriptions

Have questions about your prescription coverage?

Learn about your benefits, costs, formulary lists and any coverage restrictions by contacting your Pharmacy Benefit Manager (PBM) listed below.

If you prefer talking with a HealthEZ representative, call 844-617-1890

SmithRx is your pharmacy benefit manager (PBM).

Visit the SmithRx website here.

Filling Prescriptions

When filling prescriptions, bring your HealthEZ ID card with you to ensure the pharmacy has current coverage information. Your pharmacy information is listed on the back of your medical ID card.

For more information regarding your services, coverage, drug interactions and education about specific drugs, please visit SmithRx’s member login page. Use the member number on your health plan ID card to register an account or login. You can also access your plan formulary here

Contact SmithRx

To speak to SmithRx, please call (844) 454-5201 or email help@smithrx.com. They can assist with all pharmacy and prescription questions, including:

  • Pharmacy charging incorrect prices
  • Prescription pending prior authorization
  • Checking coverage for medications, including weight management
  • Drug Interactions

 

Prescription Drug Coverage
 
Retail
30 Day Suppy
Mail Order
90 Day Supply
Katy Trail Pharmacy and Katy Trail Prescriber
Generic No Charge No Charge
Preferred Brand No Charge No Charge
Non-Preferred Brand No Charge No Charge
Preferred Specialty No Charge Not Covered
Non Preferred Specialty No Charge Not Covered
Katy Trail Pharmacy and Non-Katy Trail Prescriber
Generic $5 Copay $10 Copay
Preferred Brand $20 Copay $40 Copay
Non-Preferred Brand $50 Copay $100 Copay
Preferred Specialty 20% Coinsurance up to $500 Not Covered
Non-Preferred Specialty 30% Coinsurance up to $500 Not Covered
Non-Katy Trail Pharmacy
Generic $20 Copay $50 Copay
Preferred Brand $45 Copay $113 Copay
Non-Preferred Brand $80 Copay $200 Copay
Preferred Specialty 20% Coinsurance up to $500 Not Covered
Non-Preferred Specialty 30% Coinsurance up to $500 Not Covered

Did You Know?

Did you know there are coupon and price comparison sites for prescriptions?

Check out these sites and see if you are paying too much.