Prepare for Highmark Members’ Pharmacy Requests

Starting Jan. 1, 2020, some of our members may be switching to another Highmark health plan. As a result, their prescription drug formulary might be changing as well.

That means these members may be making pharmacy-related requests when they call or visit your office. Such requests may include writing prescriptions for a 90-day supply of medication or for mail-order delivery so members can save money.

Please alert your patient care staff that they may receive an increased number of such requests once the new year arrives. Thank you for your support and patience.

Reminder: Use online tools for easy reference

We offer these online tools to make your interactions with Highmark and our members as easy and fast as possible:

  • Visit our online Provider Resource Center (PRC) and click on Pharmacy Program/Formularies to look up drugs, pharmacy policies, and more.
  • Use NaviNet® to confirm members’ specific benefits and eligibility.