Blue Cross PPO or Blue Cross HMO:
Vivity Premier HMO:
Where to Get Prescriptions Filled
Starting July 1
Where to Get Prescriptions Filled
Starting July 1
MedImpact Retail Pharmacies
(30-day or 90-day supply)
MedImpact’s large network includes Rite Aid, Ralphs,
Walgreens, Target, CVS and Vons
To find a network pharmacy, log on to
MedImpact.com/Members and use the
Pharmacy Locator or call 800-788-2949
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Walgreens Mail Service
(90-day supply of ongoing medications)
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Order online at Walgreens.com/MailService
(choose the Tempe, AZ facility) or by phone at
866-304-2846
What’s New for 2015-2016:
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Co-payments – Find details in the Benefits
Reference Guide (mailed to your home with Annual
Anthem Retail Pharmacies
(30-day supply)
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Express Scripts’ large network includes Rite Aid,
Ralphs, Walgreens, Target, CVS and Vons
To find a participating pharmacy, visit
Anthem.com/CA or call 800-227-3641
Home Delivery Program
(90-day supply)
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Order online at Anthem.com/CA or call the
Customer Service number on your member ID card
If you are switching to the Vivity HMO, your new
prescription drug program has different benefits and
co-payments than your previous plan.
Enrollment materials or on the Benefits Portal at
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Starting July 1, Cedars-Sinai employees will use offsite
network pharmacies to fill outpatient prescription
medications. Onsite pharmacies are no longer able to fill
Cedars-Sinai.MyBenefitChoice.com).
■■
EMPLOYEE
PRESCRIPTIONS
MOVE TO OFFSITE
PHARMACIES
Many generic maintenance medications have
For details, see your Benefits Reference Guide
employee outpatient prescriptions. We understand this
a $0 co-payment when purchased at network
(mailed to your home with Annual Enrollment
pharmacies – Contact MedImpact for the list.
materials). The guide and other plan information
is a big change and we’re here to assist you through the
Updated formulary – This means a current
medication may no longer be covered, or covered but
at the higher non-formulary co-payment level.
Go to MedImpact.com/Members or call 800-788-2949
to find out if changes apply to your medications.
is also available on the Benefits Enrollment site at
Cedars-Sinai.MyBenefitChoice.com.
process and minimize any inconvenience.
Transferring Your Rx to an
Offsite Pharmacy
To ensure an uninterrupted supply of medications,
we recommend planning ahead to allow ample time
for a smooth transition. There are 3 ways to transfer
your prescriptions:
Option 1: Request a new prescription from your
physician. For maintenance medications, request a
90-day supply. Have them filled at a network pharmacy
or through your plan’s mail order program.
TRANSFER PRESCRIPTIONS TO AN OFFSITE PHARMACY REQUEST FORM
Check the CSMC pharmacy where your prescriptions were filled:
AHSP (Pavilion) Ph: 310-423-1400
MGB (San Vicente) Ph: 310-423-9550
ACP (Spielberg) Ph: 310-423-5775
310 (Surgery Ctr) Ph: 310-423-9393
Patient Name
Phone #
New Pharmacy Name
Phone #
Pharmacy Address
Option 2: Bring your current prescription bottles to a
network pharmacy. Ask the pharmacist to contact your
former CSMC pharmacy and facilitate the transfer.
Rx #
Name of Drug
Rx #
Name of Drug
Option 3: Complete the form at right and submit it to
the CSMC pharmacy where the Rx was filled. They will
facilitate the transfer to your new network pharmacy.
Rx #
Name of Drug
Rx #
Name of Drug
If you have questions about how to transfer your
prescription, contact any CSMC pharmacy.
Rx #
Name of Drug
Rx #
Name of Drug
Note: If you take a specialty medication, contact the
CSMC pharmacy that fills that medication to discuss
your options.
Rx #
Name of Drug
Question About Your Rx Benefits?
Blue Cross PPO or Blue Cross HMO
Contact MedImpact
Phone: 800-788-2949
Web: MedImpact.com/Members
Vivity HMO
Contact Anthem
Phone: 800-227-3641
Web: Anthem.com/CA
DOB
Return this form to the CSMC pharmacy where the prescriptions were filled by dropping it off or faxing it to:
AHSP (Pavilion) Fax: 424-315-4401
MGB (San Vicente) Fax: 310-423-9551
ACP (Spielberg) Fax: 310-423-0426
310 (Surgery Ctr) Fax: 310-423-9443
Or scan or email the form to Group AHSP Rx [email protected].