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Prescription Drug Program
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/. 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 Medtrakwebsite
Preferred Network
Amendment to IH Policy
Copay Info for Prescription Drugs under the PPO 1000, PPO 2500 and PPO 3500 plans:
| Participating Pharmacy: | Retail | Mail Service |
| Maximum Day Supply Allowed: | 34 | 90 |
| Generic Copay: | $10 | $30 |
| Brand Copay: | $40 | $120 |
| 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 $4500 deductible. You will pay the Inclusive Health negotiated price for a prescription until you have reached the $4500 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.
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