WellPoint NextRx Prescription Drug Benefits
Trustmark Affinity Markets teams with WellPoint NextRx to offer two prescription drug programs employers may select based on your plan:
- Prescription Drug Card
- Price Assurance Program
The prescription drug card offers various copay and coinsurance options, based on the drug's tier: generic (the lowest copay), preferred brand (the middle copay), or nonpreferred brand (the highest copay). Copay amounts are determined by the plan your employer selects, and some drugs may not be covered under your plan. View the formulary as a reference tool to assist you and your provider in selecting clinically appropriate and cost-effective drugs. Since many brand-name drugs have generic alternatives available at a lower cost, you may wish to consider generic drugs and mail order when possible.
The Price Assurance Program is a prescription drug discount program through WellPoint NextRx network pharmacies that offers savings at thousands of participating pharmacies nationwide. You simply present your medical ID card to receive the lowest price available in that store, on that day for that drug, as well as generic drug savings and drug utilization review.
Prescription Safeguards
Because WellPoint NextRx and Trustmark Affinity Markets are working together to encourage the safe and appropriate use of medicines, both the prescription drug card and the Price Assurance programs include quantity limits and prior authorization for certain drugs. These limits and authorizations are intended to ensure proper prescription utilization and allow you to receive prescription drugs in clinically appropriate quantities.
Member Services
You may login to the WellPoint NextRx website to access many helpful member services. Refer to your medical ID card to see if your prescription drug benefits are provided through WellPoint NextRx. Login to WellPointNextRx.com and once logged in you can:
- Check your benefits information, including copays
- Check your eligibility
- Search for specific prescription drugs and their price
- Find a local pharmacy
- Contact customer service
- Access mail order services through PrecisionRx
Through the WellPoint NextRx mail order service, you can:
- Order refills on your prescription drugs
- Check order status
- View and edit your personal profile, such as address, mailing preference, etc.
- View your prescription history
- Contact a pharmacist
For a list of WellPoint NextRx participating pharmacies in your area, visit the WellPoint NextRx Pharmacy Finder.
Commonly Prescribed Drug List
Prescription drugs on the Commonly Prescribed Drug List are available to you at a lower cost as part of your prescription drug benefit. The Commonly Prescribed Drug List is comprised of select generic and brand-name drugs, and serves as a guide for receiving excellent values at a member pharmacy.
Specialty Drugs
You can conveniently obtain specialty drugs and supplies from PrecisionRx Specialty Solutions. Specialty drugs are used for many chronic diseases, such as multiple sclerosis, rheumatoid arthritis and hemophilia, these drugs can be mailed directly to your home. Additionally, you’ll receive personalized information including individual care plans and informative disease-specific materials. Each time you fill a prescription for up to a 30-day supply of specialty drugs and supplies, you will pay the applicable retail copay.
View a list of specialty drugs.
Frequently requested forms:
· Reimbursement claim form
· Mail order request form
For additional information please contact WellPoint NextRx customer service at 866.841.8951 or call the toll-free number located on your medical ID card.