International Mail Order Program
Executive Management Services offers a great option for you to save money on certain brand name prescription drugs through the Elect Rx Interna-tional Mail Order Program. This program is known as Personal Importation or PI. You can order your brand name drugs from Canada, New Zealand, Australia and England using the same “brick and mortar” pharmacies that people in these countries use for their medications. Plan Members will have a $0 co-pay (FREE!) onallBranddrugsontheElectRxFormulary. ElectRxisaconfidentialthird-party program following all appropriate HIPAA regulations. Here is how you can begin using the program.
1. On the back of this document is a list of brand name prescription drugs that are offered through the Elect Rx Personal Importation Program (PI). Review this list and see if any of the medications you are currently taking can be filled through the Personal Importation (PI) Program. We are constantly updating this list. Call Customer Service if you do not see your drug listed. You can order up to a 90-day supply of any brand name medication that is eligible for dispensing through this program.
2. Members can enroll by calling (855)353-2879. A Customer Service Representative will complete the enrollment process and order for you. You will be asked several questions related to your medical condition including any known allergies and a list of the prescription drugs you are currently taking. You should have those prescription drugs with you when you make the call.
3. Have your Physician prepare a prescription with 3 refills and FAX it to the Elect Rx Toll Free Number at (833) 353-2879. Again, you have a $0 co-pay on your prescription and subsequent refills. You will receive an automated reminder notification of a pending renewal/refill. Shipping takes 5-15 business days from the date of completed requirements Tip: Have a 30-day supply on hand to allow for plenty of delivery time.
ElectRx Customer Service: (855) 353-2879
ElectRx Physician Fax: (833) 353-2879 or Escribe to:
A & M Pharmacy, 8282 Woodward Ave. Detroit, MI 48202
NCPDP: 2338514 Fax: 313-875-2869
Customer Service
Email: info@electrx.com
Executive Management Services (EMS)
2024 Available Drug List
Personal Importation Program (90-day supplies)
Brand Medications Available Through Elect Rx
Elect Rx Customer Service: 1-855-353-2879
Open 8:30AM to 4:30PM M-F
Physician Fax: 1-833-353-2879
Actemra Cimzia Flovent Lacrisert Ocrevus Simbrinza Tremfya*
Aklief Cream Ciprodex Ear Drops Flovent HFA Inhaler Latuda Odefsey Skyrizi Tresiba
Alecensa* Combigan Forteo Lenvima* Ofev 100MG* Soliqua Trintellix
Alphagan Combipatch Fosamax D Lexiva* Ofev150MG* Somatuline* Triumeq*
Alvesco
Anoro
Arazlo
Arnuity
Asmanex
Atrovent Dulera Grastek Mayzent - 2MG* Pentasa Stendra Verquvo 10mg
Aubagio* Duobrii Humira* Mekinst - 0.5MG* Prestalia Stiolto Verzenio*
Avonex Dymista Ibrance* Mekinst - 2MG* Prezista* Stivarga Viberzi
Azelex Edecrin Imbruvica* Migranal Promacta* Sustiva Votrient*
Azilect Edurant Incruse Ellipta Mirvaso Pulmozyme* Sutent - 12.5MG* Vraylar
Baqsimi Eliquis Inlyta* Motegrity Qulipta 30mg Sutent - 25MG* Vumerity
Basaglar Elmiron Intelence Multaq Qvar Inhaler Sutent - 50MG* Vyzulta
Benlysta Emcyt Invega Myfembree Qvar Redihaler Symbicort Inhaler Wakix
Betoptic S Emtriva Iressa* Myleran Rebif Symtuza* Xarelto
Bevespi Aerosphere Enbrel* Isentress* Myrbetriq Restasis Synarel Xeljanz
Biktarvy* Entocort Isentress HD* Neupro Rexulti Synjardy Xeljanz XR
Binosto Entresto Jakafi* Nexavar* Ridaura Taclonex Xifaxan - 200MG
Bosulif 100mg* Entyvio* Janumet Nexletol Rinvoq Tafinlar* Xifaxan - 550MG
Bosulif 500mg* Erleada* Janumet XR Nexlizet Ryaltris Nasal Spray Tagrisso* Xigduo XR
Breo Ellipta Esbriet Januvia Nextstellis Rybelsus Taltz* Xiidra
Breztri Aerosphere Eucrisa Ointment Jardiance Nitrolingual Sancuso Tarceva* Xtandi
Brilinta Evotaz Jublia Topical Solution Nocdurna Santyl Ointment Tasmar Zeposia*
Briviact Exelon Patches Juluca* Norditropin Saxenda Tivicay* Ziana Gel
Cabometyx* Fareston Kaletra* Nubeqa Selzentry* Toujeo Solostar Zolinza*
Cardura XL Farxiga Kerendia Nucala Serevent Toviaz Zomig Spr
Cequa Ferriprox Kesimpta* Nurtec ODT Silenor Trelegy Ellipta Zovirax Cream
Fetzima Ocaliva*
Medications must be fillled a minimum of one-time through the Employer RX Benefit Plan.
*This medication will only be dispensed as a one month supply due to the high cost of this medication.
3.2024