Using the plan > Prescription Medications and Our Formulary
A formulary is a list of medications available to your health care provider to use in your treatment and covered as a prescription drug benefit to you.
The Hometown Health's Pharmacy and Therapeutics Committee (P&T Committee), composed of physicians from various medical specialties in our community, reviews the medications in all therapeutic categories and selects agent(s) in each class that meets its criteria for safety, effectiveness, and cost.
The P&T Committee will regularly review new and existing medications to ensure that the Formulary remains responsive to the needs of our members and providers.
Prescription Copayments (if applicable)
(Please refer to your HHP membership card for your plan's specific copayments.)
- Your benefit includes coverage for one course of treatment or a 30-day supply for one copayment.
- For generic drugs that are on the Formulary, you will pay a low copayment per prescription.
- For brand-name drugs that are on the Formulary and do not have an approved generic equivalent, you will pay a somewhat higher copayment or coinsurance per prescription.
- For non-Formulary drugs, you will pay a somewhat higher copayment or coinsurance per prescription.
Mail Order Program (if applicable)
For prescriptions that you need to take for more than a 30-day period, Hometown Health Providers offers a Mail Order Prescription Drug Program, which can save you 33% in copayments.
A few points to keep in mind about the mail order program:
- If you are starting a new maintenance medication therapy or are a new member of Hometown Health Providers, you must first obtain a 30-day supply of medication at your local retail pharmacy. When you and your doctor are satisfied with the results of your new medication therapy, mail a second prescription for up to a 90 day-supply, with applicable refills, to the Mail Order Prescription Drug Program.
- Controlled substances are not available through the mail order program. Please contact Hometown Health's Customer Services Department if you are prescribed a new medication and you would like to know whether it is on our Formulary.
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