Access drug coverage information and answers

Sharewell prescription drug information

You can receive discounts on prescription drug purchases from Blue Shield network pharmacies. To receive your prescription drugs at the discounted rate, you must present your Blue Shield member ID card to the network pharmacy when you fill your prescription.

If you go to a non-network pharmacy to fill or refill your prescriptions, you will not receive the discount. You must still satisfy your annual deductible before the plan starts paying benefits.

Wellwise prescription benefits

OptumRx is the prescription drug administrator for the Wellwise Choice PPO and Wellwise Retiree PPO Health Plans.

OptumRx has one of the largest retail pharmacy networks with over 67,000 pharmaces. Most major anchors and chains are included. Simply present your Wellwise Choice or Wellwise Retiree medical plan ID card to the network pharmacy of your choice. For a list of network pharmacies, go to www.OptumRx.com.

Retail 90 program (90-day retail medication program)

The Retail 90 Program is a convenient way to get a 90-day supply of your maintenance medications at select retail locations. (Your doctor must authorize a 90-day supply of the medication. Some medications may not be available in 90-day supplies under applicable law.) For a list of the pharmacies, visit www.OptumRx.com.

OptumRx home delivery (90-day mail service medication program)

Home delivery allows you to receive a 90-day supply of your maintenance medications by mail. You can have your medicine delivered to your home, doctor’s office or anywhere you choose. Our home delivery pharmacies are staffed with pharmacists who can answer your questions or speak to your doctor if needed. To enroll, visit www.OptumRx.com.
Coinsurance amounts
Type of Medication 30-Day Retail Coinsurance 90-Day Retail Coinsurance 90-Day Mail Service Coinsurance
Tier 1: Mostly Generic
20%
20%
20%
Tier 2: Preferred Brand Name (1)
25% (1)
25% (1)
25% (1)
Tier 3: Non-Preferred Brand Name (1)
30% (1)
30% (1)
30% (1)
(1) Effective January 1, 2018 – If you choose a brand-name drug when a generic equivalent is available, you pay 20% of generic cost plus the cost differential between brand-name and generic cost.