Acute medications
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How to read your prescription drug formulary
Prescriptions for acute medications, used to treat short-term symptoms, may be filled by the health system pharmacy or any in-network pharmacy and will be covered according to the chart below.
- For the best rate, use the health system pharmacy, with convenient locations available for pickup.
- For pickup, please have your provider send the prescription to the Bell Hospital Tower, Indian Creek Retail Pharmacy, Cambridge Tower A, or Westwood Medical Pavilion location.
- The health system rate is also honored (for acute medications only) at the Medical Park Pharmacy in Great Bend (1309 Polk St., Great Bend, KS, 67530, 620-792-1221).
- You may also fill acute medications at any in-network pharmacy. While the cost is higher, the network may offer a more convenient location to pick up a medication when you need it quickly. Search for in-network pharmacies on the Navitus pharmacy network list.
Acute medication costs under the HSA Advantage Plan
For acute medications, you pay the full cost until you reach your annual deductible. After that, you pay coinsurance:
- 10% with health system pharmacy
- 30% at in-network pharmacy
(for acute mediations only – all others must be filled by the health system pharmacy)
Acute medication costs under the Signature Plan
Health system pharmacy | In-network pharmacy* | |||
Cost tier | Up to 34 day supply | 35-102 day supply | Up to 34 day supply | 35-102 day supply |
Tier 1 $ | $5.00 | $10.00 | $25.00 | $50.00 |
Tier 2 $$ | $30.00 | $60.00 | $55.00 | $110.00 |
Tier 3 $$$ | $65.00 | $130.00 | $90.00 | $180.00 |
Tier 4 $$$$ | N/A | N/A | N/A | N/A |
* Visit KansasHealthSystemBenefits.com/NetworkRx for list of in-network pharmacies. | ||||