All of our PHP medical plans come with coverage for prescriptions and pharmacy needs. We want our members to get the most out of their healthcare insurance coverage. When understood and used effectively, the pharmacy benefit can save you money on the cost of prescriptions, maximizing your overall benefit.
Learn more about saving at the pharmacy
Documents and Resources
Vaccination Coverage at Retail Pharmacies
Contraceptives with no Cost Share
No Cost-share Preferred Insulin and Preventive Drugs Listing
Drugs Requiring Prior Authorization
Understanding Pharmacy Benefits
Accessing Pharmacy Services Online
Pharmacy Prior Authorization Request Form
ESI Mail Order Member Enrollment Form
Frequently asked Questions
What if a brand name prescription is prescribed and only the generic is covered?
If a brand name medication is required instead of a generic medication, the pharmacy will only dispense the generic medication if signed "may substitute" by the doctor on the prescription. If a brand name medication is prescribed and the prescription is signed "dispense as written" the pharmacist cannot legally change the doctor's orders and a member will be charged the prescription co-pay plus the cost difference between the generic and brand name medications.
What is step therapy?
Step therapy means that some drugs require the use of an appropriate alternative therapy by the patient within a specified number of days before the drug in question can be covered by the plan.
What is a specialty drug?
Specialty drugs are generally injectable, high-cost medications that have special handling requirements or require special training before use.
Is a mail order program available?
Yes, a mail order program is available. Contact PHP Customer Service for more details.