Client Resources -- Pharmacy Information -- Main

MedBen offers employers a selection of respected pharmacy benefit managers (PBMs) to help employers establish benefit designs tailored to their objectives. Professionals analyze the group’s population, match options to goals, and recommend the optimum mix of features to create the right plan at the right price. The group can choose an open or closed formulary, or one with a tiered copay structure.

Each PBM offers a dedicated support staff to self-funded groups, plus a nationwide pharmacy network. Members with Internet access can also visit their web sites to receive plan-specific benefits information, request prescription refills, or locate a pharmacy.

Patients needing maintenance medication may benefit from the convenience and potential savings found in PBM mail order services. Prescriptions are processed and shipped within 48 business hours of receipt, unless the medication must be special ordered or contact with the physician delays the process. All records of patients’ retail and mail order prescriptions are maintained on the same system for easy access, up-to-date record keeping, and comprehensive claims utilization review and reporting.

Prospective employers can use the links below to learn more about MedBen's selection of PBMs. Current clients can use them to order medications or download formulary (preferred drug) lists. (Some pages open in a new browser window.)

Pharmacy Network

PDM

Web Home

http://www.pdmi.com/

Pharmacy Locator

https://www.rxeob.com/secure/rx_logon_single_signon_pdmi_pharmacy.asp

Formulary Lists

For MedBen Administrators (self-funded) participants:
If your employer Rx plan uses a single tier or two tier plan, or a three tier copay plan with less than a $15 member copay difference between tier 2 and tier 3, click here for an OUTCOMES FORMULARY arranged by drug class.

If your employer Rx plan uses a three tier copay plan with a $15 member copay difference between tier 2 and tier 3, click here for a FOCUS FORMULARY arranged by drug class.

For MedBen Mutual (fully insured) participants:
Click here for an FORMULARY arranged by drug class.

Formularies are saved in the .PDF format. To view and print a form requires Adobe Acrobat Reader. You can download a free copy of Reader by clicking here.