Filling Your Prescriptions

Sometimes you can save money by asking your doctor to prescribe the generic version of a brand-name medicine. Generic versions of brand-name drugs:
 

• Have the same active ingredients in the same amounts
• Typically cost less
• Are declared by the Food and Drug Administration to be just as safe and effective

There are time guidelines for refilling your drugs.

At a retail pharmacy:

• For a 30-day prescription
  • Order a refill when you have a 7-day supply left

• For eye-drop medication
  • Order a refill when you have a 9-day supply left

Through a mail-order pharmacy:
 

• For a long-term supply (up to a 90-day or a 100-day prescription, depending on your plan)
  
  • Order a refill when you have a 22-day supply left

• For eye-drop medication
  • Order a refill when you have a 27-day supply left

If you order too early, the pharmacy won’t give you the refill until the approved date.
 

You can get prescription drugs shipped directly to your home. Often, mail-order drugs arrive within 7 to 10 days. Call the number on your ID card if you don't get your mail-order drugs within this time. You can also sign-up for automated mail-order delivery.

Medicare only covers prescription drugs sold, filled and used in the U.S. and its territories.

Our network specialty pharmacy focuses on medicines that aren’t usually available at retail pharmacies. It offers:
 

• Injection supplies, like needles, syringes, alcohol swabs, adhesive bandages and containers for needle waste at no cost to you
  
• Fast, no-cost delivery
• Package tracking
• Delivery to your home, doctor’s office or place of choice
• Support and education to help you use your medicines and manage your health condition
• Flexible payment options
• Information on drug maker programs that offer financial help

There may be times when you need to use an out-of-network pharmacy:
 

• There’s no network pharmacy close or open 24 hours
• You need a prescription drug that nearby network or mail-order pharmacies don’t often stock, like drugs for rare medical conditions
• You get a Part D prescription drug from an out-of-network provider pharmacy from:
  • An emergency room
  • A provider-based clinic
  • An ambulatory surgical center
  • An outpatient setting
• You get a prescription outside of your home or service area due to:
  • A state or federal disaster declaration
  • Other public health emergency

If one of the above reasons doesn't apply, we won’t reimburse you for your prescription filled out of network.
 

If one of the above reasons applies, you'll have to pay the full cost when filling the prescription. You may get a smaller amount of your medicine until you can get to a network pharmacy.
 

For reimbursement, send us a claim form and your receipt. We'll reimburse you for the amount you paid up to a 10-day supply, minus your copay or coinsurance.
 

Print a prescription drug claim form

Print a prescription drug claim form (Spanish)

Your plan coverage document (Evidence of Coverage) has more details about out-of-network pharmacies.
 

See your Evidence of Coverage