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 Not all employer health plans cover every medication manufactured by pharmaceutical companies.

Medication formularies are different for every health plan and every employer.

The primary focus of HealthyWayRx is to ensure that a member of any participating employer-sponsored plan can access the medication he or she is prescribed but is excluded from their employer health plan and cost-prohibitive to pay for out of pocket. 

The goal of HealthyWayRx is to work together with the employee to find the lowest possible price for an excluded prescription medication, which most often are obtainable for free through pharmaceutical company-sponsored programs. 

The HealthyWayRx Nurse Advocates are specialists in providing employer-sponsored plans comprehensive medication assistance and advocacy support services that assist members in finding lower-cost solutions to the high cost of finding lower or no-cost solutions for high dollar medications.

The HealthyWayRx is a value-added service for participating employer-sponsored plans, and not a replacement for a member’s current health care coverage. It is designed to work as an added service for employees whose employer may not have coverage for a prescribed drug. When employers save money on prescription medications, the employees save money too.

Evaluate all possible avenues to access the medication if there is an exclusion in the participating employer-sponsored health plan. 

Work directly with the member to access all prescription assistance programs, also helping with forms, documentation, and processing.  

With the employee’s authorization and together with our Medical Director, work with physicians, primary care providers, or other prescribers to ensure the applications are accurate and complete.