Pharmacy Benefits & Services

Imperial Medicare members can get a 100-day supply of your medications for the same copay as a 90-day supply. This is a part of your pharmacy benefit. This benefit will help you save money and time. This will also help you stay adherent to your medications.

How to Have Your Doctor Order a 100-Day Supply

When you see your doctor, you can ask them for a 100-day supply of your medications plus 3 refills. Ask them to send the new prescription to your pharmacy of choice. You can also take the prescription with you to the pharmacy.

How Can You Have Your Prescriptions Mailed to Your Home?

There are many pharmacies that can mail your prescriptions to your home. It will be at no extra cost to you.

We partner with Birdi Mail Order to provide convenient home delivery of your prescriptions at no extra cost to you. Enjoy hassle-free service today! (855) BirdiRx or 1-855-247-3479 (TTY 711), Mon to Fri: 8:00 am - 8:00 pm EST, Sat: 9:00 am - 5:00 pm EST or Patientcare@birdirx.com, www.medimpact.com.

If you are interested, ask the Imperial Pharmacy team± for more information.

What Does It Mean to Stay Adherent?

It means stick to your medication plan that your doctor prescribed for you. You should always talk with your doctor about any questions and concerns before you make any changes by yourself.

Why Is Staying Adherent Important?

It has been shown that sticking to your medication plan leads to better health and better control of your chronic conditions. This can look like less trips to the emergency room, less medications to take, more time to do things you love and much more. If you are interested, ask the Imperial Pharmacy team for more information. For pharmacy updates please visit www.imperialhealthplan.com, choose your state and county, then click on the Members tab and navigate to Pharmacy Resources. You can also reach out to our Pharmacy team at any of the ways listed below. We look forward to serving you!

We're a powerhouse of specially trained Pharmacists, Pharmacy Technicians, and Pharmacy Concierges. We can help you with all your medication needs, like understanding your copay, getting the prescriptions you need, finding solutions if your medicine costs too much, and more. By working together, we aim to optimize the health of Imperial's members. Let's collaborate for better health!

Imperial offers pharmacist support:

• Free pharmacist consultations to review your medications.
• Medication Therapy Management (MTM) for eligible members to help manage chronic conditions like diabetes, high blood pressure, and high cholesterol.
• Personalized outreach — our pharmacists may contact you if we notice a gap in your medication refills.

To dial a Pharmacist call (626) 788-0178±, 8:30 am to 5 pm Monday – Friday, except holidays.

Travel with Peace of Mind!

Planning a trip is exciting, but sometimes things don't go as planned. Imperial offers flexible pharmacy options to make sure you have the medications you need—so you can relax and enjoy your travels.

Vacation Override – One Time Per Medication, Per Year. If you're going out of town or traveling overseas, you may qualify for an early refill of your medication through our Vacation Override program. This benefit can be used once per year for each medication. For certain medications, we can provide up to a 100-day supply to cover your time away, so you're fully prepared and stress-free.

Lost or Damaged Medication Refill – Once Every 6 Months, Per Medication. If your medication is lost or accidentally damaged, you can use our Lost Medication Refill benefit. This allows you to get a replacement refill once every 6 months for each medication.

We're here to help you stay on top of your health, no matter where your travels take you!

Ways to Reach Imperial's Pharmacy Team

• Website: www.imperialhealthplan.com
• Phone: (626) 788-0178±
• Fax: (626) 689-4232
• Text: (626) 322-2933
• Hours of Operation: 8:30 am–5:00 pm, Monday–Friday, except holidays

Pharmacy Benefits and Management Updates

You can find annual changes and ongoing updates regarding your drugs, including drug coverage rules and preferred options, visit www.imperialhealthplan.com, choose your state and county, then click on the Members tab and navigate to Pharmacy Resources.

Here's what you can access:

1. List of covered drugs also known as the Formulary along with a drug search tool on the Pharmacy Resources page.
2. How to use your plans coverage for prescription drugs.
3. An explanation of quantity limits.
4. The process for generic substitution, therapeutic interchange, or step therapy protocols.
5. How your doctor should submit information to support coverage for a drug that is not listed as a covered medication.

All this information is available in your Evidence of Coverage (EOC) and on the Pharmacy Resources page on the website. To find your plan specific EOC, visit the Benefits page and refer to chapter 4: Medical Benefits Chart, chapters 5: Using the plan's coverage for Part D prescription drugs and chapter 6: What you pay for your Part D prescription drugs.

*Please reach out to the Imperial Pharmacy Department at (626) 788-0178±, Mon–Fri 8:30 am–5:00 pm if you have any questions. In addition, to improve the quality and clarity of pharmacy benefit information, please report any errors or share your feedback.

To locate a network pharmacy nearby, visit www.openenrollment.medimpact.com/ and enter your plan reference code.

You can log into the member portal at https://members.imperialhealthplan.com/member/signup and register or enter your username and password or call MedImpact at (877) 391-1105 to:

• Learn about your drug costs.
• Order existing, unexpired mail order drugs.
• Find a network pharmacy near you by zip code.
• Explore generic alternatives.