Prescription Drug Information

Inclusive Health's prescription drug benefit and network are managed by MedTrak, which includes over 2,000 retail pharmacies across North Carolina. To find a participating pharmacy near you, please review the retail pharmacy link on https://www.medtrakservices.com/ or call 1 800 894-0794. Present your Inclusive Health identification card at a participating pharmacy along with your prescription.

Mail Order
Inclusive Health offers mail order pharmacy services through MedTrak and Walgreen's. Click on MedTrak 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.medtrakservices.com.

Pharmacy Claim Forms
Member Claim form
How to register on the Medtrak website
Preferred Network


Copay Info for Prescription Drugs under the PPO 1000, PPO 2500 and PPO 3500 plans:

Participating Pharmacy:	Retail	Mail Order
Maximum Day Supply Allowed:	34	90
Generic Copay:	$10	$30
Brand Copay:	$60	$180
Specialty Medication Copay:	The lesser of 20% or $250 copay with an annual benefit maximum of $100,000. Specialty Medications are limited to a 30 day supply per fill.

Please note: The copays only apply to the PPO1000, PPO2500 and the PPO3500 plans. If you selected the HDHP 5000 High deductible plan, prescriptions will not be reimbursed until you have satisfied your entire $5000 deductible. You will pay the Inclusive Health negotiated price for a prescription until you have reached the $5000 deductible, then all services are covered at 100%.

To find out more about your prescription drug benefits, please refer to your Inclusive Health policy. The policies can also be found in the Benefits Information Section.