Pharmacy Benefits

Managing Your Prescription Drugs

Highmark Health Options has many network pharmacies. Always use a network pharmacy to get your prescription drugs. You can find a list of network pharmacies in the Provider DirectoryOr call Member Services at 1-844-325-6251, Monday–Friday, 8 a.m.–8 p.m. to help you find a network pharmacy near you.

You can call or visit any network pharmacy to request a refill or ask questions about a refill. Your prescription can be refilled if:

  •  Your PCP ordered a refill.
  •  The refill is permitted by law.
  •  You have used 83% of your last fill.

Do not wait until you’re out of your drug to get a refill. Get a refill when you have enough left for three days.

Drug Safety and Recall Information

HHO is committed to providing our members with the highest quality of care. To do that, we provide drug safety information in the form of drug safety alerts and medication guides.

The Food and Drug Administration (FDA) approves Medication Guides, which are handouts that come with specific drugs you get at the pharmacy. The FDA requires Medication Guides be given with these drugs to provide patients with information about the drug to prevent serious side effects. Medication Guides are located on the FDA website.

Drug Recalls and Withdrawals

HHO has been notified by the Food and Drug Administration (FDA) that these medications will no longer be available due to safety reasons. For information regarding drug recalls and withdrawals, visit the FDA website.

If you are currently taking any of these medications, HHO will contact you and your provider to make you aware that this drug is no longer available. In the meantime, it is suggested you do the following:

  • Call your doctor right away. You and your doctor should talk about if you should stop taking the drug immediately. Your doctor may suggest another drug that is safe and effective for treating your condition.
  • If you have questions about the right way to dispose of the drug, call the pharmacy that filled the drug for help.

Your doctor will be able to answer your questions about how this may or may not have an effect on your health. There are covered alternatives that may be available to replace the drug that is no longer on the market. If your doctor has questions about coverage of an alternative drug that has been or will be prescribed for you, your doctor can call Provider Services.