Part D benefits are included with our Deluxe and Premier plans.
With INTEGRIS Health Partners+, getting your prescriptions is simple. Our plans have no "preferred" pharmacy network to worry about. There is a $100 deductible, that must be satisfied before you pay the copays listed in the chart below. The deductible does not apply to some drug tiers. This means that we will pay our share of the costs for drugs in these tiers even if you haven’t paid your deductible yet. The deductible does not apply to drugs in Tiers 1 and 2 or the select insulins.
Below are the member copays while in the Initial Coverage Limit:
| 30 Day Supply | Deluxe & Premier | Annual Deductible |
|---|---|---|
| Tier 1 - Preferred Generic | $5 | No deductible applies |
| Tier 2 - Generic | $12 | No deductible applies |
| Tier 3 - Preferred Brand | $40 | $100 deductible applies |
| Tier 4 - Non-Preferred Brand | $95 | $100 deductible applies |
| Tier 5 - Specialty Tier | 31% of the cost | $100 deductible applies |
| Select Insulins | $35 copay for select insulins | No deductible applies |
You will pay a maximum of $35 for a 1-month supply of select insulins during the deductible, Initial Coverage and Coverage Gap (or Donut Hole) stages of your benefit.
Search for prescription medications that promote clinically useful and cost-effective drug therapy.
INTEGRIS Health Partners+ members can save money on a 90 day supply of your prescription drugs when you use mail order.
| Copay Tiers during Initial Covergae Limit | INTEGRIS Health Partners+ Deluxe and Premier Plans | Annual Deductible | ||
|---|---|---|---|---|
| Retail Copay 30 Day Supply |
Retail Copay 90 Day Supply |
Mail Order Copay 90 Day Supply |
||
| Tier 1 - Preferred Generic | You pay $5 | You pay $15 | You pay $5 | No deductible applies |
| Tier 2 - Generic | You pay $12 | You pay $36 | You pay $12 | No deductible applies |
| Tier 3 - Preferred Brand Name | You pay $40 | You pay $120 | You pay $80 | $100 deductible applies |
| Tier 4 - Non-Preferred Drugs | You pay $95 | You pay $285 | You pay $190 | $100 deductible applies |
| Tier 5 - Specialty Tier | You pay 31% of the cost | You pay 31% of the cost | You pay 31% of the cost | $100 deductible applies |
Choose from two convenient options. More mail order prescription information.
INTEGRIS Health Partners+ is pleased to make its pharmacy directory available to its members. The online directory is for your reference only.
INTEGRIS Health Partners+ makes every effort to maintain current and accurate pharmacy data; however, periodic changes to a pharmacy's status can occur. Please contact Customer Service at 405-810-2008 or 1-833-751-1141 if you have questions about a pharmacy's participation with INTEGRIS Health Partners+. TTY/TDD users should call 1-800-722-0353.
The participating pharmacies listed in the directory are independent contractors and are not employees of INTEGRIS Health Partners+. All health care decisions are strictly the responsibility of the patient and the pharmacy.
If you get extra help from Medicare to help pay for your Medicare prescription drug plan costs, your monthly plan premium will be lower than what it would be if you did not get extra help from Medicare. The amount of extra help you get will determine your total monthly plan premium as a member of our Plan. Low income subsidy premium table.
For certain prescription drugs, we have additional requirements for coverage or limits on our coverage. These requirements and limits ensure that our members use these drugs in the most effective way and also help us control drug plan costs. More information regarding our drug management programs.
CMS has created a best available evidence (BAE) policy, which requires sponsors whose plans cover Part D prescription drugs to provide access to those drugs at the correct low-income subsidy (LIS) cost-sharing level when presented with evidence of a beneficiary’s LIS eligibility, even if the sponsor’s system and CMS’s system do not yet reflect that eligibility. Best Available Policy and related resources located on the CMS website.