All About Pharmacy
We designed this Pharmacy Benefits Member Guide to help you easily understand your coverage and make the most of it. Inside, you'll also find smart ways to save on prescription costs. Because plans can vary, be sure to check your Evidence of Coverage for specific coverage details.
Drug Lists
- California HMO 3-Tier Drug List (PDF)
- Preventive Drug List (PDF)
- CVS Caremark® Maintenance Drug List (PDF)
Cost-saving tips
- Choose generic drugs when possible
- Use our mail order pharmacy for maintenance prescription drugs
Maintenance Choice Pharmacy Program
HMO Active Employees & Early Retirees
The Maintenance Choice pharmacy program provides you with more convenience for filling your maintenance prescriptions (medicine taken regularly for long-term therapy or chronic conditions).
Note: this program only applies to filling maintenance medications. You can still fill 30-day non-maintenance prescriptions at any Health Net contracted pharmacy.
How does the program work? After the third fill of a maintenance medication at a network retail pharmacy, you are required to receive future refills (90-day supply) using either the CVS Caremark Mail Service Pharmacy or your local CVS Pharmacy retail location. The choice is up to you; the copayment is the same either way.
You may order your medication one of the following ways:
- Phone: CVS Caremark® Member Services at 888-624-1139 (TTY: 711) 24 hours a day, 7 days a week.
- Online: Caremark.com
- Mail: Complete the CVS Caremark® form and send it to the address listed on the form.
CVS Caremark Forms:
LAUSD Mail Service Pharmacy© and Maintenance Choice® Program Flyer (PDF)
To learn more, please refer to your plan's Evidence of Coverage. Members may also call the number on the back of their member ID card.
HMO Retirees
For certain kinds of prescription drugs, you can use our preferred mail order service – Express Scripts® Pharmacy. Generally, the drugs available through mail order are drugs that you take on a regular basis for a chronic or long-term medical condition. Drugs NOT available at our mail order service are marked as “NM” (not mailed) in the Medicare Advantage Seniority Plus Drug List (PDF).
Our preferred mail order service allows you to:
- Order up to a 100-day supply of drugs, based on your plan. (excluding our Specialty Tier 5).
- Enjoy free standard shipping, safely and discreetly to your door.
- Save time and make fewer trips to the pharmacy.
- Receive prescription refills and renewals with the Automatic Refill program.
Usually, you can expect to receive your drugs within 10-14 days from the time the mail order service receives your order. It is recommended that you contact the pharmacy 21 days before your current prescription will run out. This will ensure your order is shipped to you in time. If, at any time, your mail order is delayed, you can contact the pharmacy, Express Scripts® Pharmacy or Member Services for help.
You may register for our preferred Mail Order Service by one of the following ways:
- Phone: Express Scripts® Pharmacy Member Services at 1-833-750-0201 (TTY: 711) 24 hours a day, 7 days a week.
- On-line: express-scripts.com/rx
- Mail: Complete the Express Scripts® Pharmacy form below and send it to the address listed on the form.
Get your FREE blood glucose meter for Health Net members
Find out how you can get your FREE blood glucose meter.
Check first with your doctor, diabetes educator or pharmacist to find out which meter is right for you. Then, take advantage of this offer by calling one of the following telephone numbers. A new meter will be mailed to you at no charge. Call to get your blood glucose meter and start paying lower copays on test strips, right away!
- For an Abbott Diabetes Care meter, call toll-free: 866-224-8892
- For a OneTouch® meter, call toll-free: 855-872-6391
Effective January 1, 2026, the Lifescan OneTouch meter and strips will no longer be covered at the lower copayment. Switch to Roche Accu-Chek® Guide Me or Guide meter. Call toll-free: 800-858-8072