Prescriptions

Have questions about your prescription coverage?

Learn about your benefits, costs, formulary lists and any coverage restrictions by contacting your Pharmacy Benefit Manager (PBM) listed below.

If you prefer talking with a HealthEZ representative, call 844-804-8126

VytlOne is your pharmacy benefit manager (PBM).

Visit the VytlOne website here.

Filling Prescriptions

When filling prescriptions, bring your HealthEZ ID card with you to ensure the pharmacy has current coverage information. Your pharmacy information is listed on the back of your medical ID card.

For more information regarding your services, coverage, drug interactions and education about specific drugs, please visit VytlOne’s member login page. Use the member number on your health plan ID card to register an account or login. You can also use the member portal to review the drug formulary.

Contact VytlOne

To speak to VytlOne’s Member Services, please call (800) 687-0707. They can assist with all pharmacy and prescription questions, including:

  • Pharmacy charging incorrect prices
  • Prescription pending prior authorization
  • Checking coverage for medications, including weight management
  • Drug Interactions

 
To review your prescription formulary with VytlOne, click here.  

Prescription Drug Coverage
 
Retail
30 Day Suppy
Mail Order
90 Day Supply
Copay Plan 1 - Upson Regional Medical Center On-Site Pharmacy
Generic URMC: $5 Copay
Wellness Program: $0 Copay
URMC: $10 Copay
Wellness Program: $0 Copay
Preferred Brand URMC: $25 Copay
Wellness Program: $10 Copay
URMC: $50 Copay
Wellness Program: $20 Copay
Non-Preferred Brand URMC: $60 Copay
Wellness Program: $60 Copay
URMC: $120 Copay
Wellness Program: $120 Copay
Specialty Not Available Not Available
Copay Plan 1 - Any Other Pharmacy
Generic $10 Copay $30 Copay
Preferred Brand $30 Copay $60 Copay
Non-Preferred Brand $60 Copay $120 Copay
Specialty 20% up to $200 Not Available
HDHP Plan 1 - Upson Regional Medical Center On-Site Pharmacy
Generic URMC: 10%*
Wellness Program: $0 Copay*
URMC: 10%*
Wellness Program: $0 Copay*
Preferred Brand URMC: 10%*
Wellness Program: $10 Copay*
URMC: 10%*
Wellness Program: $20 Copay*
Non-Preferred Brand URMC: 10%*
Wellness Program: $60 Copay*
URMC: 10%*
Wellness Program: $120 Copay*
Specialty Not Available Not Available
NOTE: * After Deductible
HDHP Plan 1 - Any Other Pharmacy
Generic 10%* 10%*
Preferred Brand 10%* 10%*
Non-Preferred Brand 10%* 10%*
Specialty 20% up to $200 Not Available
NOTE: * After Deductible

Did You Know?

Did you know there are coupon and price comparison sites for prescriptions?

Check out these sites and see if you are paying too much.