Pharmacy Benefits

Pharmacist handing a prescription bottle to a customer

Prescription medications are often a crucial part of your total health picture. The coverage of prescriptions is based around a drug formulary, or list of drugs, used by Prevea360 Health Plan to help you differentiate what is and isn’t covered.

Visit the Formulary

Find out about our formulary management procedures.

Prevea360 also offers a variety of cost-saving pharmacy programs to help you manage your prescriptions and lower your expenses. Check them out below.

green icon of a prescription drug bottle with pills  Pharmacy Programs

Expand the topics below to learn more.

> Specialty Pharmacy Programs

Personalized Support for Members

Specialty drugs are an important part of the treatment for many chronic and complex health conditions. These high-cost medications require personalized coordination between you, your prescriber, and your pharmacy.

Prevea360 utilizes a partnership with Lumicera, a pharmacy experienced in handling specialty drugs, to coordinate personalized support for members impacted by chronic illnesses and complex diseases.

Other benefits of our Specialty Pharmacy program:

  • Free Delivery of specialty medications directly to your home, doctor's office, or another location via Federal Express.
  • Same day service available for emergency medication needs.
  • Medication consultations with registered pharmacists experienced in providing one-on-one care to patients with complex conditions.
  • Refill reminders help you avoid running out of medication.

To begin receiving your specialty medications, call 855-847-3553.

> Tablet Splitting Program

You Split the Tablet - We'll Split the Copay

Tablet splitting can provide significant savings for you. Through this program, you pay up to one-half of your usual copayment on included prescription drugs.

For more information on this program speak to your health care provider or call Prevea360’s Customer Care Center at 877-230-7555.

Tablet Splitting Program Medications:

  • Bystolic
  • Eplerenone
  • Ezetimibe
  • Galantamine
  • Januvia
  • Latuda
  • Rasagiline (Azilect)
  • Tekturna
  • Tolterodine (detrol)
  • Uloric
  • Vesicare

> Mail Order Refills

Get Your Medications Delivered to You

Prevea360 members can get prescriptions filled for 90 days* through our mail order service.

Our mail order service offers an easy way for you to get a 90-day supply of your long-term or maintenance medications. Your prescriptions are delivered to your door, saving you a trip to the pharmacy.

Prevea360 Health Plan members can get prescriptions filled for 90 days* through Costco. There are two ways to place your mail order through Costco:

  1. Traditional mail order: Order all prescriptions by mail or phone. You must include the patient profile form and submit it to the Costco Mail Order Pharmacy. You can pay with personal check or electronic funds transfer.
  2. Online ordering: Order all prescriptions online at Each person in your household who receives their medication through online ordering must have their own account and unique email address.

To avoid any order delay be sure that:

  • You provide Costco a valid shipping address
  • You include valid payment information
  • Your provider sends complete directions for use. Costco can't dispense orders without valid instructions and "use as directed" won't be accepted.
  • Your prescription is written for the maximum days supplied allowed by your plan (usually 90 days) and contains additional refills.

Your order should arrive 14 days after Costco receives it at the processing facility. Allow a few extra days if you're placing your order for the first time. Standard shipping is free; expedited shipping is available for an extra cost.

For more details, see the Costco mail order brochure.

* Mail Order service is not available to all Prevea360 members. See your Member Benefit Summary or call our Customer Care Center at 877-230-7555 for more information.

green icon of a clip board with a graph  Pharmacy Forms

Members Exception

Expense Reimbursement

Drug Recall Information

Quick Reference Guide

Search more forms in our Document Library