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Prospective Members, Enrolled Members and

Providers Inquiries: 800-405-9681 (TTY 711)

Disclaimer

Texas Independence Health Plan HMO SNP

CY2021 Pharmacy Directory

This pharmacy directory was updated on 10/2020. For more recent information or other questions, please contact Texas Independence Health Plan HMO SNP’s Member Services at 1-800-406-8007 or, for TTY users, 711. Hours are 8:00 A.M. to 8:00 P.M., seven days a week from October 1 through March 31; 8:00 A.M. to 8:00 P.M. Monday to Friday from April 1 through September 30 or visit www.txindependencehealthplan.com

Changes to our pharmacy network may occur during the benefit year.  An updated Pharmacy Directory is located on our website at www.txindependencehealthplan.com. You may also call Member Services for updated provider.

Introduction

This booklet provides a list of Texas Independence Health Plan HMO SNP’s network pharmacies.  To get a complete description of your prescription coverage, including how to fill your prescriptions, please review the Evidence of Coverage and Texas Independence Health Plan HMO SNP’s formulary.

We call the pharmacies on this list 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 Texas Independence Health Plan HMO SNP 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 non-network pharmacies under certain circumstances as described in your Evidence of Coverage.

All network pharmacies may not be listed in this directory. Pharmacies may have been added or removed from the list after this directory was printed. This means the pharmacies listed here may no longer be in our network, or there may be newer pharmacies in our network that are not listed. This list is current as of <insert date name>. For the most current list, please contact us. Our contact information appears on the front and back cover pages.

You can get prescription drugs shipped to your home through our network mail order delivery program. For more information, please contact us or see the mail order section of this pharmacy directory.

If you have questions about any of the above, please see the first and last cover pages of this directory for information on how to contact Texas Independence Health Plan HMO SNP.

Retail Pharmacies, including Chain Pharmacies

Mail Order Pharmacy

You can get prescription drugs shipped to your home through our network mail order delivery program.

If you have used mail order services with your current plan before, or if you opt in now, our pharmacy will automatically fill and ship new prescriptions received directly from your doctors or other prescribers. You may opt out of automatic deliveries of new prescriptions at any time by contacting us at 1-800-406-8007.  If you never had mail order delivery and/or decide to stop automatic fills of new prescriptions, we will contact you each time we get a new prescription from a provider, to see if you want the medication filled and shipped at that time. This will give you an opportunity to make sure that the correct drug (including strength, amount, and form) will be delivered, and, if necessary, allow you to cancel or delay the order before you are billed and it is shipped.

For refills of your mail order prescriptions, you have the option to sign up for an automatic refill program called EASYrefill. In order to enroll in this program, you will need to contact our Pharmacy Benefit Manager, Elixir at 1-800-846-8007 (TTY 711). Under this program, we will start to process your next refill automatically when our records show that you should be close to running out of your drug. We will contact you prior to shipping each refill to make sure you are in need of more medication. You can cancel scheduled refills if you have enough of your medication or if your medication has changed. If you choose not to use the auto refill program, please contact us at least 14 business days before you think the drugs you have on hand will run out to make sure your next order is shipped to you in time. To opt out of the automatic refill program, please contact us by Elixir at 1-800-406-8007 (TTY 711).  

Typically, you should expect to receive your prescription from seven to ten business days from the time that the mail order pharmacy received the order. Shipping is free for standard mail delivery and for faster delivery, expedited shipping is available at an additional cost. If there is a delay, we will notify you using your preferred method of contact. Once your medication is shipped, you will receive a tracking number via email and/or text if you have opted in for the service. You can also see shipping status in the Mail Portal (https://envisionpharmacies.com/Mail/Patients). If you do not receive your prescription drug(s) within this time, please contact us at 1-800-406-8007 (TTY 711).

Home Infusion Pharmacies

Long-Term Care Pharmacies

Residents of a long-term care facility may access their prescription drugs covered under Texas Independence Health Plan through the facility’s long-term care pharmacy or another network long-term care pharmacy.

Indian Health Service / Tribal / Urban Indian Health Program (I/T/U) Pharmacies

Only Native Americans and Alaska Natives have access to Indian Health Service / Tribal / Urban Indian Health Program (I/T/U) Pharmacies through Texas Independence Health Plan’s pharmacy network.  Those other than Native Americans and Alaskan Natives may be able to access these pharmacies under limited circumstances (e.g., emergencies).

 Network Pharmacies outside the State

We have network pharmacies outside of the service area where you can get your drugs covered as a member of our plan.

This pharmacy directory was updated on  10/2020. For more recent information or other questions, please contact Texas Independence Health Plan HMO SNP’s Member Services at 1-800-406-8007 or, for TTY users, 711. Hours are 8:00 A.M. to 8:00 P.M., seven days a week from October 1 through March 31; 8:00 A.M. to 8:00 P.M. Monday to Friday from April 1 through September 30 or visit www.txindependencehealthplan.com

Changes to our pharmacy network may occur during the benefit year.  An updated Pharmacy Directory is located on our website at www.txindependencehealthplan.com. You may also call Member Services for updated provider.

Page Last Updated:  10/15/2020

Texas Independence Health Plan is a HMO-SNP with a Medicare contract. Enrollment in Texas Independence Health Plan depends on contract renewal. H5015_TIHPWEB_2021