Benefits > Prescription Drugs
Resources
The following is a summary of your medical benefits. For a more detailed explanation of benefits, please refer to your Summary Plan Description (SPD), certificate of coverage or SBC. You may access a list of participating providers through the carrier’s website.
True Rx (Retail and Mail Order)
1 (866) 921-4047
truerx.com/members
SHARx (High Cost Specialty Medications)
1 (314) 451-3555
www.sharxplan.com
30-day supply at retail pharmacy
90-day mail order available
See Summary Plan Description for additional details. You may also contact the plan administrator regarding benefits.
Prescription Drugs – Reference Based Pricing Plans
Prescription Drugs – Cigna Plan
*SHARx is not available for J codes (provider administered infusions/injections).
True Rx
Process Technology has elected to provide several common preventive care prescription drugs through True Rx.
Depending on your plan, some of the preventive care medications may require prior authorization in order to be covered at no cost to you. A prior authorization process is a simple process. Please notify your doctor or call customer service at 1-866-921-4047, if you are asked for prior authorization.
Please note, if you have a prescribed brand name prescription drug that had a direct generic, only the generic is covered at no cost to you.
If you have questions about a specific drug is covered, you may:
- Check the formulary at https://truerx.com/formulary
- Download the True Rx mobile App and use the search box for the drug
- Call True Rx Customer Service at 1-866-921-4047 between 8:00am and 6:00pm EDT, Monday through Friday.
How do I continue my Mail Order Service?
If your employer offers home delivery options, contact WB Rx Express.
We can transfer your existing prescriptions from your current pharmacy.
wbxexpress.com or 833-391-0126
True Rx offers a mobile app for both iPhone and Android devices. This app provides you access to your health information wherever you need it, whenever you need it.
Through the member mobile app, you can:
- View your prescription card
- View your most current list of prescriptions and claims
- Find drug information
- Locate in-network pharmacies with maps, directions, and pharmacy information
- Price a drug at multiple pharmacies
- Set a preferred pharmacy to be used each time a drug is priced
SHARx Prescription Assistance
What is SHARx?
SHARx is a pharmacy advocacy program for high-cost prescription drugs.
Who is Eligible?
Employees and family members that are currently enrolled in the health plan and are taking a high-cost prescription drugs are eligible for this program.
What are the Costs?
There are no costs to participate in the SHARx program. Process Technology has paid 100% of the cost of this service for you and your family, as long as you are enrolled in the health plan. Prescriptions obtained through this service could be FREE for you and your family. Sometimes a co-pay or out of pocket amount will be required, but this out of pocket may be substantially less than what you are paying now.
What is considered a High-Cost Prescription?
Any medication that has a cost of at least $350 per month is considered high cost. Please call (314)-451-3555, if you have questions concerning your specific medication.
What happens if I don’t enroll in the SHARx program?
Your high-cost medications will no longer be covered by your pharmacy benefit. If you are in the advocacy process with SHARx, you may be eligible for a short supply of your urgent medication at your local pharmacy, when the advocacy is in process. Certain manufacturers will require additional information to verify your income. Please respond promptly to this request to ensure there is no delay.
What can you expect?
It is important to note that this is not an overnight solution and usually takes from two to four weeks on average to implement your cost savings, depending on outside circumstances of physician cooperation, ease of communication and understanding. You may also be asked to verify your income, so please respond in a timely manner. Please be patient with the process and realize that SHARx advocates want to help you.
What about my prescriptions that aren’t high cost?
You will continue to use your same pharmacy for acute and low-cost maintenance medications. You are welcome to see if the SHARx program can save you money on maintenance medications by visiting www.sharxplan.com/generics. Often you can receive a year’s supply of maintenance medications for less than you would pay over the course of year when using your insurance copays.
Instructions to Create Your Advocacy Request
- During onboarding, if you have been identified as having been prescribed a high-cost medication, you will receive a welcome email from SHARx.
- After receiving the email, please follow the instructions in the email:
- Click on the custom link the email to create an account on the SHARx platform.
- Validate your identity and setup a user account for the website.
- After logging, you can verify the prescription information we have on file for you (and your dependents).
- Complete a “Request for Advocacy” and we’ll get to work on saving money for you and your employer.
- If you do not receive a welcome email and are prescribed a high-cost medication in the future, please email
[email protected] or call (314) 451- 3555.
