A pharmacy benefit manager (PBM) processes and pays prescription drug claims for its members. It contracts with pharmacies and builds and maintains drug formularies. A PBM also negotiates discounts and rebates with drug manufacturers.
Currently, your prescription drug benefit has four levels of copayment (Tier 1, Tier 2, Tier 3, and Specialty Tier) for both retail prescriptions and mail order prescriptions. To determine the most up-to-date formulary status of your medication, please visit your Navitus member portal website or call Navitus member services at (866) 333-2757 for more information about your drug benefits.
For the most up-to-date formulary status of your medication, please visit your Navitus member portal website or call member services at the number listed on your ID card. Members can get more information from their personalized online member portal by creating an account at https://members.navitus.com.
To be covered under your health plan, you have two convenient options to fill your specialty pharmacy prescriptions as a Memorial Hermann Health Plan member. You can fill your specialty pharmacy prescriptions at Memorial Hermann Specialty Pharmacy or at Lumicera Health Services.
Lumicera Specialty Pharmacy is another alternative specialty pharmacy benefit that we offer to our members. The process to fill a prescription is simple. Call a Lumicera Patient Care Specialist at (855) 847-3553 to get started.
Please go to the Lumicera Specialty Pharmacy Frequently Asked Questions page for additional resources.
No. You don't need to be a Costco Member to use Costco pharmacies, including Costco Mail Order Pharmacy.
You can register via mail or phone or via online. Below are the two methods to register for home delivery service with Costco mail order pharmacy.
Option 1: Traditional Mail Order Process - If you register for Costco using mail or phone process, it is called the Traditional Mail Order. Traditional Mail Order requires you to order all your prescriptions via mail or phone. You must complete the included patient profile form and submit it to Costco Mail Order Pharmacy. Traditional Mail Order also accepts personal checks and Electronic Funds Transfer as forms of payment.
Option 2: Online Ordering service requires you to order all your new prescriptions online at www.costco.com. You should create an online account. Please remember that each individual receiving medications must have their own unique email address in order to create an online account. All communication between you and the pharmacy will be done via email.
To register for an online account, you need to go to Costco.com and create an account.
Please Note: A Costco Membership is not required, you do not need to enter a membership number. Creation of an online login just requires an email address and a password. If you already have a Costco account, simply click login and log into your account.
Please use the following instructions to complete a mail order profile setup after creating your online login account or logging into your existing Costco account:
Step 1: After creating the account, hover over the Pharmacy link at the top, middle of the page.
Step 2: Click on the “Mail Order” option..
Step 3: From there, over on the right, click on Fill New Prescriptions - this will take you to your profile page where you can set up your personal information, drug allergies, insurance, payment, and shipping information. You can enter all the information..
Step 4: Please click and agree to the Terms of Service for Costco Mail Order..
Step 5: Finally, you click "Complete Profile," your registration for Pharmacy is complete, and you can start using the service immediately.
Step 1: After creating the account, hover over the Pharmacy link at the top, middle of the page..
Step 2: Click on the “Mail Order” option.
Step 3: From there, over on the right, click on Fill New Prescriptions – (this will direct you to Sign In).
Your doctor can reach out to Costco directly or use electronic prescribing software (e-scripts) to select Costco Mail Order Pharmacy and to send prescriptions. Providers and Members can also call Costco Mail Order Pharmacy at (800) 607-6861 for any help with processing their prescription. For more information, please read the section titled “How do I order a new prescription using the Online Ordering service?” in the Costco brochure. For the Costco brochure in Spanish “¿Cómo pido una receta nueva usando el servicio de Pedidos en Línea?.”
Members need to register at Costco.com before they can fill or request refills for mail order prescriptions. Note: You do not need to be a Costco Member to use Costco pharmacies, including Costco Mail Order Pharmacy. Information from the new member ID card is needed to register and members can register by phone, mail or online. Home delivery forms and FAQs are available by scrolling down to the "Additional Information" section below.
Note: You should expect to receive your mail order prescriptions 14 days after Costco Mail Order Pharmacy receives your refill request. Make sure you have an adequate supply of your medication on hand to allow for this time period.
Yes, please reach out to Costco, they allow members to enroll in the automatic refill program. Please be aware that prescriptions on auto-refill will still require your consent before we can fill them. A valid email address and payment method must be on file with Costco mail order pharmacy in order to use the auto-refill system. To enroll your prescription in the auto-refill program, you can either enable auto-refill for each prescription yourself on the Refill Prescriptions page on the online Costco account, or Contact Costco Mail Order Pharmacy via phone at (800) 607-6861. Please note auto-refills will not be available for controlled substances and refrigerated medications.
For additional information on Costco Mail Order pharmacy, please view these resources:
(Please note that by clicking on the links above, you will be leaving the Memorial Hermann website).