Prescription Coverage

MedImpact administers your prescription drug program and provides a nationwide network of pharmacies. A list of the network pharmacies is available through the MedImpact website or by calling the Pharmacy Helpdesk at (800) 788-2949 for more information.

Prescription drug benefits are not subject to the medical plan deductible, and the reimbursement level doesn’t change when your medical plan coinsurance out-of-pocket maximum is satisfied. There are out-of-pocket maximums for medical plans A,B,C, and Z, after which there is no longer a co-pay amount for the remainder of the year. The out-of-pocket maximum is reviewed every year and can be found in your Medical Plan Summary of Benefits and Coverage (SBC) found here under Plan Information. Medical plan JC28XL does not have a limit.

Questions about your prescription? You can look up your prescription in MedImpact’s formulary list or call the MedImpact Pharmacy Helpdesk at (800) 788-2949.

Your retail pharmacy benefit depends on whether the prescription drug is a brand name or generic and whether you buy your prescription drugs at a MedImpact network pharmacy. You pay only your share of the cost to the pharmacy when you purchase your prescription. The Plan then pays the balance of the cost directly to the pharmacy. Except in medical emergencies, only prescriptions purchased at a MedImpact network pharmacy are covered by the Plan.

Medical Plans A, B, C, and Z

Prescription Drugs – Retail Pharmacy

Medical Plan JC28XL

Please refer to your plan booklet to see your specific prescription coverage or log in to www.nwadmin.com to see the details of your plan.

Find a pharmacy near you.

MedImpact provides a mail order and specialty pharmacy service for the Trust PPO Medical Plan called Birdi™ (formerly MedImpact Direct).

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You can save time and often money by using the Mail Order prescription program. When you use the network Mail Order pharmacy you pay only the co-pay amount and in many cases can get a larger supply of your medication (up to 100 days).

Generic – 10% of the drug cost or up to a maximum $15 co-pay per prescription

Formulary Brand (preferred) – 30% of the drug cost or up to a maximum $90 co-pay per prescription

Non-Formulary Brand (not preferred) – 40% of the drug cost or up to a maximum $130 co-pay per prescription

For Trust Medical Plan Mail Order Rx visit MedImpact to login and get started, or call Birdi at (855) 873-8739.

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Is your medication considered a controlled substance?  You can contact MedImpact Direct at (855) 873-8739 or by email and they can assist you in getting the prescription filled if approved.

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Medical Plan JC28XL: Please refer to your plan booklet to see your specific prescription coverage or log in to www.nwadmin.com to see the details of your plan.

The Plan offers a specialty prescription drug program that covers medications used to treat the following health conditions:

• Crohn’s disease
• Growth hormone deficiency
• Hepatitis C
• HIV/AIDS
• Multiple sclerosis
• Psoriasis
• Rheumatoid arthritis

Prescription medications covered under the specialty prescription drug program may change from time-to-time.

You can order many specialty prescription drugs through the Plan’s Mail Order pharmacy, which can save you money. You can get a 100-day supply for 10% of the drug cost or $15 co-pay (whichever is the lesser) on generic drugs, or 30% of the drug cost or $90 co-pay per prescription for brand-name drugs. Ancillary supplies, such as syringes and alcohol swabs are included with your order at no charge. Your medication will be delivered to your home or doctor’s office at no cost to you.

If you have questions about the specialty prescription drug program or need to refill a prescription, call MedImpact Direct at (855) 873-8739.