2024 State of Illinois Member Handbook

Page 6

Your Pharmacy Coverage Plans with pharmacy coverage built right in help you keep all your coverage in one place and help you save with special programs and discounts made for you.

Prescriptions

Drug Formulary

Where you get your drugs filled matters. Log in at hally.com or call Customer Service to find an in-network pharmacy near you.

You can find a list of drugs covered by your plan, including the payment tier for each drug, using the formulary. Drug coverage is voted on by the P&T (Pharmacy and Therapeutics) committee. It consists of a group of clinical pharmacists, medical directors and doctors in various specialties.

Before you go, check the drug formulary for your drug’s tier at hally.com. Every drug listed in our formularies is put into a cost group, or tier. You typically pay the lowest price for a Tier 1 drug. As you step up to the next tier, the amount you pay increases. Your provider can call our Pharmacy department at (800) 851-3379 (option 4) to ask about lower-cost options for your drugs. See the list of drugs we cover in our formulary at HealthAlliance.org/Pharmacy.

2023-2024 Member Handbook – State of Illinois Employees

Mail-Order Discount You can order a 90-day supply of certain prescription drugs through the mail for a discounted rate. Learn more about the program by calling Optum Rx®, your pharmacy benefits manager, at (800) 763-0044.


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2024 State of Illinois Member Handbook by Health Alliance - Issuu