Prescriptions

Have questions about your prescription coverage?

Learn about your benefits, costs, formulary lists and any coverage restrictions by contacting your Pharmacy Benefit Manager (PBM) listed below.

If you prefer talking with a HealthEZ representative, call 844-610-7872

Liviniti is your pharmacy benefit manager (PBM).

Visit the Liviniti website here.

Filling Prescriptions

When filling prescriptions, bring your HealthEZ ID card with you to ensure the pharmacy has current coverage information. Your pharmacy information is listed on the back of your medical ID card.

For more information regarding your services, coverage, drug interactions and education about specific drugs, please visit Liviniti’s member login page. Use the member number on your health plan ID card to register an account or login. You can also access your plan formulary here.

Contact Liviniti

To speak to Liviniti Member Services, please call (800) 710-9341. They can assist with all pharmacy and prescription questions, including:

Pharmacy charging incorrect prices
Prescription pending prior authorization
Checking coverage for medications, including weight management
Drug Interactions

Prescription Drug Coverage

	Retail 30 Day Suppy	Mail Order 90 Day Supply
Premier Access Premium (Copay 1) Plan
Generic	Bothwell Pharmacy: $5 Copay Any Other Pharmacy: Greater of $40 Copay or 20% Coinsurance	$10 Copay
Preferred Brand	Bothwell Pharmacy: $20 Copay Any Other Pharmacy: Greater of $80 Copay or 50% Coinsurance	$40 copay
Non-Preferred Brand	Bothwell Pharmacy: $40 Copay Any Other Pharmacy: Greater of $150 Copay or 60% Coinsurance	$80 Copay
Specialty	Bothwell Pharmacy: 20% Coinsurance Any Other Pharmacy: 40% Coinsurance	Not Available
Cigna PPO Plan
Generic	Bothwell Pharmacy: $5 Copay Any Other Pharmacy: Greater of $40 Copay or 20% Coinsurance	$10 Copay
Preferred Brand	Bothwell Pharmacy: $20 Copay Any Other Pharmacy: Greater of $80 Copay or 50% Coinsurance	$40 copay
Non-Preferred Brand	Bothwell Pharmacy: $40 Copay Any Other Pharmacy: Greater of $150 Copay or 60% Coinsurance	$80 Copay
Specialty	Bothwell Pharmacy: 20% Coinsurance Any Other Pharmacy: 40% Coinsurance	Not Available
Cigna HSA Plan
Generic	Bothwell Pharmacy: 20%* Any Other Pharmacy: 40%*	Bothwell Pharmacy: 20%* Any Other Pharmacy: 40%*
Preferred Brand	Bothwell Pharmacy: 20%* Any Other Pharmacy: 40%*	Bothwell Pharmacy: 20%* Any Other Pharmacy: 40%*
Non-Preferred Brand	Bothwell Pharmacy: 20%* Any Other Pharmacy: 40%*	Bothwell Pharmacy: 20%* Any Other Pharmacy: 40%*
Specialty	Bothwell Pharmacy: 20%* Any Other Pharmacy: 40%*	Bothwell Pharmacy: 20%* Any Other Pharmacy: 40%*
Note:	* Coinsurance after Deductible

Did You Know?

Did you know there are coupon and price comparison sites for prescriptions?

Check out these sites and see if you are paying too much.

Want to have a confidential conversation with a nurse?

Call 844-610-7872

Email a Nurse Helpline@HealthEZ.com

Prescriptions

Questions about your benefits?

Register your myHealthEZ account

Filling Prescriptions

Contact Liviniti

Did You Know?