Frequently Asked Questions
Where can I use the 1020RX Pharmacy Card?
The Tiered-Pricing Pharmacy card is accepted at over 60,000 pharmacies throughout the United States. The network includes pharmacy chains such as Rite Aid, Medicine Shoppe, Walgreens and more as well as thousands of independent pharmacies nationwide. Pharmacy locations can be obtained by contacting customer service at 800-710-2079 between the hours of 9:30 AM to 5 PM EST. If a neighborhood pharmacy is not already participating in our network, please have them call us at 800-7-1020RX (800-710-2079). We will send them information about how they can participate in the network so that you can take advantage of the savings at your pharmacy of choice.
What if my pharmacy doesn’t recognize the card?
Pharmacies may not be familiar with every prescription program in which they participate. If the pharmacist does not recognize your Tiered Pricing Pharmacy card or if you encounter a problem at the pharmacy DO NOT leave without having the pharmacy call the toll-free number printed on the back of the card.
How much will I pay for my prescriptions?
Your booklet includes a listing of the most commonly prescribed medications for both brand and generic drugs. These medications have been broken into payment tiers of $10, $20 and $40 levels. In each category, you will pay the listed tier price or less, but you will never pay more than the price listed in each tier. For drugs not listed in one of the tiers, members pay our contracted discount price or the pharmacies usual and customary fee, whichever is less.
What is my average discount on drugs not listed in one of the tiers?
The price depends upon the pharmacy and the type and quantity of drugs purchased. . There is not a guaranteed percentage savings on every prescription purchase. Members receive an average discount of approximately sixteen percent on non-tiered brand name and generic drugs Pharmacies, just like other retail stores, compete against each other and may have special prices on some products. When this happens, we cannot discount the pharmacy’s already low price, but a member will benefit from the pharmacy’s special pricing. THE MEMBER ALWAYS RECEIVES THE CONTRACT PRICE OR THE PHARMACY’S PRICE, WHICHEVER IS LESS.
What is a generic drug?
Once a patent on a brand name drug expires, other drug companies may make a generic version of the drug with the approval of the Food and Drug Administration (FDA). The FDA’s standards for quality are the same for all manufacturers. This means the generic drug must contain the same active ingredients as the name brand whose patent has expired, and that it is as safe, potent and effective.
How can I keep my prescription drug costs down?
The use of generic prescription drugs, whenever available, is the most cost effective. Discuss your prescription options with your doctor and ask whether a less expensive alternative would be as effective for your ailment or condition.
How will I know if there is a generic equivalent available?
Simply ask your local pharmacist or call Customer Service to find out about generic equivalents for your prescription. Also ask your doctor to prescribe generics whenever possible and appropriate.
What is the difference between name brand and generic drugs?
The brand name is the trade name under which the product is advertised and sold. Initially, brand drugs are protected by patents, which enable the manufacturer who developed the drug to recoup the research and development costs incurred in bringing the drug to market for a predetermined number of years. Once a patent expires, other companies may manufacture a generic equivalent, providing they follow stringent FDA regulations for safety.
Generic drugs are drugs for which the patent has expired, allowing other manufacturers to produce and distribute the product under a generic name. Generics are essentially a chemical copy of their brand name equivalents. The color or shape may be different, but the active ingredients must be the same for both. The preferred drug list contains only FDA-approved generic medications.
Why is the brand drug I am taking not discounted?
If you are currently taking a medication that has similar active ingredients or is used to treat the same conditions as the brand drugs on the preferred pricing guide, it may still be discounted. You will pay the negotiated price for that drug. To take advantage of the potential program savings on listed preferred drugs, you should ask your Pharmacist (where regulations permit) or a doctor to change your medication, where medically appropriate, to a less expensive product listed in the preferred pricing guide.
How do I contact the mail service pharmacy?
Members can order up to a 90-day supply of medication through our convenient mail order pharmacy service and have it delivered to their home. Prescription drug orders are shipped FREE of charge via First Class Mail. An easy mail order form is provided in your fulfillment kit.
Where can I find more information about other benefit plans?
For frequently asked questions about our physicians/hospital plan – Click Here
For frequently asked questions about the dental plan – Click Here
For frequently asked questions about the vision plan – Click Here
For more information please contact us at toll free 1-800-7-1020RX (1-800-710-2079) Monday through Friday between the hours of 9:30 AM to 5 PM EST, excluding some Holidays. You can also contact us 24/7 by sending an email to info @ 1020rx.com