MedImpact

 

Frequently Asked Questions Regarding Pharmacy Benefit Changes 2019

1. What pharmacy benefit manager (PBM) is replacing Magellan Rx? - click to expand

MedImpact will be your new PBM starting January 1, 2019. MedImpact works with your health plan to help you get the right prescription drugs to treat your conditions. Our goal is to make it as easy as possible to get you the medication you need.

2. If I have questions, who can I talk to? - click to expand

If you have questions on or after January 1, 2019, please contact a MedImpact representative at (888) 274-9689. If you need assistance prior to January 1, 2019, please contact MHP Customer Service at (888) 327-0671, TTY: 711.

3. Can I see my pharmacy benefit information online? - click to expand

Beginning January 1, 2019 you can access the MedImpact member website though McLaren CONNECT.

You will be able to:

  • View your drugs
  • Check drug prices
  • See lower-cost options
  • Find pharmacies near you
  • View copayment info
  • Check formulary status
  • View Prior Authorization (PA) status

 

4. Is my retail pharmacy in the MedImpact network? - click to expand

MedImpact provides you a large network of pharmacies, such as Walgreens, Meijer, Kroger; however, CVS and Target pharmacies will no longer be in-network. For a complete listing of in-network pharmacies, please see the Provider Directory on MHP website at McLarenHealthPlan.org or call Customer Service at (888) 327-0671, TTY: 711.

5. My pharmacy cannot fill my prescription. Who can help? - click to expand

Have your pharmacy call the Pharmacy Help Desk on or after January 1, 2019 for assistance.

Pharmacy Help Desk: (888) 274-9689, TTY: 711

Hours: Available 24 hours a day, seven days a week, year around.

6. Can I get the drugs I take every month filled at retail pharmacies? - click to expand

Yes. You can get your prescriptions filled at participating retail pharmacies. For a complete listing of in-network pharmacies, please see the Provider Directory on our website at McLarenHealthPlan.org or call Customer Service at (888) 327-0671, TTY: 711.

7. Can I continue to use Magellan for home delivery service for mail?* - click to expand

No. The new mail-order pharmacy is MedImpact Direct®. To get started, call (855) 873-8739, TTY: 711 or have your prescriber fax your prescription to (888) 783-1773. You will need a new 90-day supply prescription from your prescriber. Go to www.medimpactdirect.com for details.

Mail-Order Vendor: MedImpact Direct®
Customer Service: (855) 873-8739, TTY: 711
Email: customerservice@medimpactdirect.com
For security and privacy reasons, please do not include personal health information in your email.

*Applies to McLaren Health Advantage and McLaren Health Plan Community only.

8. What if I have refills remaining for mail order at Magellan?* - click to expand

Remaining refills with Magellan will not be transferred to MedImpact Direct®. If you need medication in this transition, refill your prescription with Magellan prior to January 1, 2019. To start service with MedImpact Direct, you will need a 90-day supply prescription for your first custom delivery order.

*Applies to McLaren Health Advantage and McLaren Health Plan Community only.

9. I take specialty medication. Can I still use Welldyne or US Specialty Care? - click to expand

No. You will get your specialty medications through the AllianceRx Walgreens Prime. They will work with your contracted pharmacies to dispense your medication.

If you are a new patient to AllianceRx Walgreens Prime Specialty Pharmacy, you will need to obtain a new prescription from your doctor. Your doctor or you can call AllianceRx Walgreens Prime Specialty Pharmacy for assistance.

You may also share the below information with your doctor to fax or electronically transmit your prescription directly to the pharmacy. Your prescription must come directly from your doctor in order to be valid.

Specialty Pharmacy: AllianceRx Walgreens Prime
Address: 41460 Haggerty Circle South
City, State: - Canton, MI
Zip Code: - 48188
Telephone: - (888) 282-5166
Fax: - (888) 570-4700

10. How will I know if my prescriptions are covered? - click to expand

Starting January 1, 2019 visit www.medimpact.com where you can search for medications that are covered under your plan. You will need to register to sign in to your account.

11. Will my Prior Authorization (PA) with Magellan be transferred to MedImpact? - click to expand

Yes. If you have active PAs with Magellan they will be transferred to MedImpact. If the PA expires before January 1, 2019, you will need to work with your prescriber to get a new PA with MedImpact.

12. How do prescribers obtain a PA for a medication? - click to expand

Prescribers can call MedImpact Help Desk: (888) 274-9689 (TTY dial 711) Hours: 24 hours a day, seven days a week

13. I cannot fill my prescription at my pharmacy. Why does it say that I am not eligible? - click to expand

You must present your new ID card to the pharmacy beginning January 1, 2019 to get your prescriptions. Call MHP Customer Service at (888) 327-0671, TTY: 711 for assistance.