Prescription Plan
All medical plan participants have prescription drug coverage based on their selected plan. A way to save money is by requesting generics and/or mail order options when available.
All Prescription plans are administered by RX Benefits
Please contact RX Benefits with your prescription needs for both the Highmark Blue Cross Blue Shield and Aetna Plans.
RXBenefits Contact Information
-
Call – (800) 334-8134
7:00 a.m. to 8:00 p.m. Central, Monday-Friday - Email – customercare@rxbenefits.com
- Member Portal – https://member.rxbenefits.com/
TriaHEALTH and Weight Loss Medication
Enrollment in TriaHealth is mandatory if you are taking non-diabetic weight loss medications.
Retail / Mail Order Copay Comparison Chart
Highmark Blue Cross Blue Shield Plans
Administered by RX Benefits
Retail Pharmacy (30 Day Supply) versus Mail Order (90 Day Supply)
| Highmark Blue Cross Blue Shield Highmark PPO |
Highmark Blue Cross Blue Shield Highmark EPO |
Highmark Blue Cross Blue Shield Passive Highmark (Formerly Comp 80) |
||||||
|---|---|---|---|---|---|---|---|---|
| In-Network Benefits |
Out-of-Network Benefits |
Schedule of Benefits | Schedule of Benefits | |||||
| Retail Pharmacy (30 Day Supply) | ||||||||
| Generic | $8 copay | Not covered | $8 copay | 20% after deductible | ||||
| Preferred | $30 copay | Not covered | $30 copay | 20% after deductible | ||||
| Non-Preferred | $50 copay | Not covered | $50 copay | 20% after deductible | ||||
| Mail Order Pharmacy (90 Day Supply) | ||||||||
| Generic | $16 copay | Not covered | $16 copay | 20% after deductible | ||||
| Preferred | $60 copay | Not covered | $60 copay | 20% after deductible | ||||
| Non-Preferred | $100 copay | Not covered | $100 copay | 20% after deductible | ||||
Aetna Prescriptions Plans
Administered by RX Benefits
Retail Pharmacy (30 Day Supply) versus Mail Order (90 Day Supply)
| Aetna Open Access Select | Aetna PPO | Aetna Medical QHDHP - HSA Compatible |
||||||
|---|---|---|---|---|---|---|---|---|
| Schedule of Benefits | In-Network Benefits | Out-of-Network Benefits | Schedule of Benefits | |||||
| Retail Pharmacy (30 Day Supply) | ||||||||
| Generic | $8 copay | $8 copay | Not Covered | $8 copay after deductible | ||||
| Preferred | $30 copay | $30 copay | Not Covered | $30 copay after deductible | ||||
| Non-Preferred | $50 copay | $50 copay | Not Covered | $50 copay after deductible | ||||
| Mail Order Pharmacy (90 Day Supply) | ||||||||
| Generic | $16 copay | $16 copay | Not Covered | $16 copay after deductible | ||||
| Preferred | $60 copay | $60 copay | Not Covered | $60 copay after deductible | ||||
| Non-Preferred | $100 copay | $100 copay | Not Covered | $100 copay after deductible | ||||
RX Benefits
2027 National Preferred Formulary Rx Guide
ESI Mail Order
Registering with Express Scripts
Clinical Solutions PromptPA Quick Tips Guide Flyer
90-Day Prescription Flyer
FLYER Prior Auth Process for Providers
Protect PAs FAQ
TRIA HEALTH®: Weight Management Support
Tria Health’s Weight Management Program is a free and confidential benefit available through your health insurance. Tria Health supports your weight management journey with personalized coaching, ongoing support, and practical tools to help you build healthy habits and achieve your wellness goals.
Your Tria Health Benefit Includes:
Personal Health Coach
- A health coach will work with you one-on-one to create a personalized plan and support you every step of the way.
Food Tracking App
- Easily track your meals and progress with a user-friendly app.
Access to a Pharmacist
- If weight loss medications are right for you, a Tria Health pharmacist will be available
to guide you.
Frequently Asked Questions
What Will I Receive for Participating?
- Your welcome kit includes a digital scale, measuring tape, portion plate, and water bottle.
How Often Do I Speak with My Coach?
- Connect weekly with your health coach via the Tria Health app or phone.
Get Connected!
Call (866) 792-8742
Visit www.triahealth.com/enroll
2027 Tria Health
Tria Health Weight Management Flyer
Tria Health Flyer Weight Management Testimonial
