SmithRx’s Connect 360 Programs – Low Cost Prescription Solutions ASSIST PROGRAM The Assist Program compares cost savings opportunities on your generic drug prescriptions. Any brand drugs simply process using your standard prescription benefit with no interruption. Your member ID has all the information that your pharmacy needs to fill your medications. When the pharmacy submits your claim, the decision engine finds the lowest cost option for you and that’s what you pay at the counter.
ACCESS PROGRAM
The Access Program helps the pharmacy apply copay coupons to medications that help reduce the cost of prescriptions for both you and your employer. Your medications will not exceed your copay. In fact, you will often pay less. Depending on your medication, you may pay nothing at all.If you are taking medications that qualify for the Copay Maximization Program, you will receive communication from the SmithRx support specialists via phone or email. It is important that you engage with them and provide them the information they request.
ACCESS PLUS PROGRAM
Many high-cost specialty medications can be accessed through advocacy foundations and grant programs when a medication is not covered under the pharmacy benefit. SmithRx assists in navigating the patient assistance landscape to obtain medication coverage. If you quality, you will be able to receive your medication at no cost to you or your employer. If approved, the medication will be shipped to you free of charge. If denied but your medication is covered on the formulary, you can continue to get your medication through the pharmacy benefit as usual.
What steps do I need to take if my medication qualifies for the Patient Assistance Program?
1. You will be contacted by the support specialist to begin the enrollment process. 2. You will need to electronically sign an authorization form that allows the specialist to act on your behalf for the sole purpose of applying for these grant programs. 3. Some applications may require additional documentation (i.e., tax return, medical expense summary). You will be asked to submit this documentation to SmithRx via secure encrypted email. 4. Some applications may require SmithRx to work with your doctor. If that is the case, SmithRx may ask you to contact your doctor to request that they submit the required forms. 5. It’s important that you work with us throughout this process to ensure timely approval of your application and prevent any delays in your medical treatment.
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