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Welcome to Summit Health

Pharmacy

Get the prescription drugs you need with our pharmacy coverage.


Pharmacy network

You have choices for when and how you order prescription drugs. See our list of pharmacies in our network.

How to file a claim

If you get a prescription filled at an out-of-network pharmacy, you can request that we reimbuse you.


Formulary

Our formulary is a list that shows you what medications we cover, including generic and brand-name medications.


Transition policy

If you’re new to our prescription drug plan, you may be taking a medication that’s not part of our formulary. Learn how we continue to cover new members.


Coverage determination

If your pharmacist tells you that a drug requires authorization, you have options.


Quality assurance

We care about your safety. We also care about the service you receive. Learn how we review your experience with in-network pharmacies.


Medication therapy management

If you’re taking multiple medications, our Medication Therapy Management program can help you get the most benefits from your prescription drugs.


Low-income subsidy

You can get Extra Help from Medicare to lower your monthly costs for your prescription drugs. See if you qualify.


Last updated Nov. 6, 2020
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Contact us

Have questions? We’re here to help. Call us today at 844-827-2355 (TTY users, please call 711). Our customer service team is available from 7 a.m. to 8 p.m., Pacific Time, seven days a week from Oct. 1 to March 31. After March 31, your call will be handled by our automated phone system on weekends and holidays.

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