Peoples Health Online Provider Directory – Network Pharmacies | 2023

Introduction to Network Pharmacies

Our online provider directory also provides information about Peoples Health network pharmacies. To get a complete description of your prescription coverage, including how to fill your prescriptions, please review your plan’s Evidence of Coverage and the Peoples Health formulary.

We call the pharmacies in our online directory our “network pharmacies” because we have made arrangements with them to provide prescription drugs to plan members. In most cases, your prescriptions are covered under your Peoples Health plan only if they are filled at a network pharmacy or through our mail-order pharmacy service. Once you go to one pharmacy, you are not required to continue going to the same pharmacy to fill your prescription but can switch to any other of our network pharmacies. We will fill prescriptions at out-of-network pharmacies under certain circumstances as described in the Evidence of Coverage.

This directory is updated each month. All network pharmacies may not be listed in this directory. Pharmacies may have been added or removed since this directory was last updated. This means the pharmacies listed in our online directory may no longer be in our network or there may be newer pharmacies in our network that are not yet listed.

This list is current as of the date listed on the bottom of our online directory page.

Peoples Health Group Medicare members: You can go to all the retail pharmacies in our online directory, but your costs for some drugs may be less at pharmacies that offer preferred cost-sharing. Please note that all retail pharmacies within the OptumRx® online pharmacy search tool offer preferred cost-sharing.

Mail-Order pharmacies

Members can order prescription drugs from a network mail service pharmacy and have their prescription drugs delivered to their home. You can use any of the plan’s network pharmacies to fill your covered prescription drugs. For more information, please contact us.

Peoples Health Choices 65, Peoples Health Choices Gold, Peoples Health Choices and Peoples Health Group Medicare members: The plan’s pharmacy network includes preferred and standard mail-order pharmacies. With the preferred mail-order pharmacy, you generally have lower out-of-pocket copays. You may save on an extended-day supply of many of your maintenance medications compared with what you would pay at a network retail pharmacy. An extended-day supply might be 90 days or 100 days, depending on your plan. See your plan’s Evidence of Coverage. 

OptumRx® home delivery pharmacy is the preferred mail-order pharmacy in the plan’s network. You are not required to use OptumRx home delivery to supply your maintenance medications, but you may pay more out-of-pocket compared to using OptumRx, your plan’s preferred mail-order pharmacy. You may also use other network mail-order pharmacies to fill prescriptions. 

You can find more information about the preferred mail-order pharmacy by calling OptumRx at the number below under When Ordering Through OptumRx.

Peoples Health Secure Health and Peoples Health Secure Complete: The plan’s pharmacy network includes mail-order pharmacies. OptumRx® home delivery pharmacy is one of the mail-order pharmacies in the plan’s network.

You are not required to use OptumRx home delivery to supply your maintenance medications, but you may pay more out-of-pocket compared to using OptumRx. You may also use other network mail-order pharmacies to fill prescriptions.

 You can find more information about mail-order pharmacies by calling OptumRx at the number below under When Ordering Through OptumRx. 

When Ordering Through OptumRx

Prescription orders sent directly to OptumRx from your doctor must have your approval before OptumRx can send your medications. This includes new prescriptions and prescription refills.

OptumRx will contact you by phone to get your approval. At that time, you may also tell OptumRx to automatically fill any future prescriptions it receives directly from your doctor(s) for up to one year. If OptumRx is unable to reach you for approval, your prescription will not be sent to you. 

Prescriptions from OptumRx should arrive within 5 business days after OptumRx receives the complete order. OptumRx will call you if there will be an extended delay in the delivery of your medications. 

To refill your home delivery prescriptions, please call us before you think the drugs you have on hand will run out to make sure your next order is shipped to you in time. If you do not receive your prescription drugs, please call OptumRx toll-free at 1-877-889-6358, TTY 711, 24 hours, 7 days a week. 

Refunds may be available for prescriptions you did not approve and did not want. You may request a refund or cancel your approval by calling OptumRx. 

OptumRx is an affiliate of UnitedHealthcare Insurance Company. You are not required to use OptumRx home delivery to supply your maintenance medication. If you have not used OptumRx home delivery, you must approve the first prescription order sent directly from your doctor to OptumRx before it can be filled. Prescriptions from OptumRx should arrive within 5 business days from the date OptumRx receives the completed order. Contact OptumRx anytime at 1-877-889-6358, TTY 711. 

Looking for a mail-order pharmacy?

If you have questions about any of the above, please contact us.