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Out-of-Area PPO

Pharmacy

Prescription medicine coverage is part of your Out-of-Area PPO plan. Where you choose to have your prescriptions filled will determine how much you pay for your medicines. You have two pharmacy options: MedImpact network community pharmacies or out-of-network pharmacies. You can choose any pharmacy option regardless of the network status of your prescribing provider.

MedImpact Network – Community Pharmacies

Prescriptions through participating retail pharmacies.

  • You can use any of the over 70,000 retail pharmacies nationwide in the MedImpact participating pharmacy network.

You can fill prescriptions (written by any provider) at any participating MedImpact pharmacy. Here’s a partial list:

  • CVS
  • Costco
  • Rite Aid
  • Safeway
  • Farm Fresh
  • Giant
  • Target
  • Harris Teeter
  • Walgreens
  • Walmart

Not all locations in a chain participate, some are independently contracted. To check on a specific pharmacy or for more information, call MedImpact Customer Service at 1-800-788-2949 at any time or check the MedImpact Pharmacy Locator Tool.

Out-of-Network Pharmacies

Prescriptions through participating retail pharmacies.

Fill your prescription (written by any provider) at any other licensed pharmacy.

  • You can fill prescriptions at any non-participating pharmacy.
  • You will pay full out-of-pocket costs for prescriptions filled at out-of-network pharmacies and then submit a Pharmacy Claim Form for reimbursement.

 

Finding out what drugs are covered.

  • To find out if your prescription medications are on the plan drug formulary you can visit the Mid-Atlantic States Formulary for a list of approved drugs.

Pharmacy Claims Address:
MedImpact Healthcare Systems, Inc.
PO Box 509098
San Diego, CA 92150-9098

Kaiser Permanente Insurance Company (KPIC), a subsidiary of Kaiser Foundation Health Plan, Inc. (KFHP), underwrites the In-Network PPO Tier and Out-of-Network Tier.