Prescription Drug Coverage

Prescription Drug Program

Description of Benefits

Inclusive Health has the following prescription drug benefit tiers and copayments for a covered prescription of up to 30 days:

  • Generic Drugs = $10 Copayment
  • Preferred Brand Drugs = $35 Copayment
  • Non-Preferred Brand Drugs = $50 Copayment
  • Specialty Drugs = $250 Copayment
    • Annual benefit maximum of $100,000 for specialty drugs

Retail Network

Inclusive Health’s prescription drug benefit and network are managed by Caremark, which includes over 2,000 retail pharmacies across North Carolina. To find a participating pharmacy near you, please review the retail pharmacy link on www.caremark.com. Present your Inclusive Health identification card at a participating pharmacy along with your prescription.

Mail Order

Inclusive Health offers mail order pharmacy services through Caremark. Click on Caremark to find out the details.

Specialty Drugs

Prior Authorization Requirements: A list of prescription drugs for which Inclusive Health requires a prior authorization can be found at www.caremark.com.

Prescription Assistance Programs

In the event that you exceed your annual dollar benefit maximum for specialty drugs of $100,000, you may be eligible for a prescription manufacturer’s Prescription Assistance Program (PAP). PAPs offer free or low-cost prescription drugs to eligible individuals typically with annual incomes below 200% of the federal poverty level. You’ll find more information about PAPs at www.rxassist.org.

North Carolina Health Insurance Risk Pool, Inc.

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