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PATIENT INFORMATION
Our Commitment
Northwest Pharmacy Services contracts with more than 55,000 pharmacies throughout the United States. This broad network enables us to negotiate discount rates on behalf of our clients and obtain convenient, professional pharmacy services for members. Our members receive quality service with our pharmacy network.
· Our state-of-the-art claims adjudication technology provides immediate and accurate claims processing.
· It ensures each prescription is paid for at its current price and in compliance with the benefit design.
· Our system allows for extensive messaging to pharmacists regarding eligibility, formulary issues, and clinical information to protect members from unsafe drug therapy.
How To Locate A Network Pharmacy
We have over 850 pharmacies in Washington. If you live in Washington, it is highly likely that your neighborhood pharmacy is part of our network.
We also have a national network of pharmacies to serve you if you live in or are visiting another state.
If you have difficulty finding a pharmacy close to you, call our toll-free number: 1-800-998-2611 or email us at info@nwpsrx.com.
Information Resources
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Visit My Health Zone
for info on medical conditions, treatments, and health news |
For information about specific drugs, drugs by condition, medical encyclopedia, medical dictionary symptoms and diseases, please visit these web sites:
For educational information about a variety of patient health topics including medication use, generics drugs, proper storage of medicines, and a medication record chart.
Please click on the following .PDF brochures:
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Formulary and Explanation of Benefit TermsDrug Formulary and Tiered Co-payments
Your Rx drug benefit includes a list of medications called a formulary. A formulary is designed to provide you with high-quality prescription drug therapy while reducing costs. All medications have been reviewed by a Pharmacy and Therapeutics Committee based on safety, efficacy, uniqueness and cost. Coverage of any product is subject to your plan’s benefit design. If your plan has a three-tiered formulary benefit design, it has been constructed to assist and encourage you and your physician in selecting the most cost-effective therapeutic options.
In general, a 3-tier benefit is designed as follows:
Tier 1: Generic Drugs - Generic drugs cost considerably less than their branded drugs. All are approved by the FDA as being equivalent in potency and purity to brand name counterparts. Your co-payment will usually be considerably less. Further, your health plan pays less for generic drugs.
Tier 2: Formulary Brand Name Drugs - These are preferred drugs selected by the Pharmacy and Therapeutics committee for your plan.
Tier 3: Non-Formulary Brand Name Drugs - These drugs are available, but at the highest co-payment. More cost-effective drugs usually exist in Tier 1 or Tier 2 for the same disease or condition.
Click HERE to view our Formulary List
Click HERE to view CTUIR Coverage Info
Click HERE to view the Pharmacy Lists
Usually, when you visit an NWPS network pharmacy, the pharmacy takes care of all the paperwork for you and submits the claim to us electronically. However, in rare circumstances, this may not have been possible. Use the claim form provided here to submit prescription claims to us for which you paid the full amount.
Click HERE for the NWPS Prescription Claim Form
Our mail pharmacy service program has two goals: 1) delivering timely quality pharmaceutical care to our customers, and 2) maximizing the plan sponsor’s bottom-line savings. Our clients appreciate the seamless data integration with the retail and mail service programs, which allows for critical Point-of-Service reviews and Drug Utilization review monitoring. Members appreciate the convenience of free home delivery and flexibility.
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