How $0 prescriptions work
500+ generics on Essential, 1,000+ on Plus — at $0.
Members on Benefi plans get their most common prescriptions at $0. No copays, no deductibles, no surprise costs at the pharmacy counter. Here's exactly what's covered and how to use this benefit.
What prescriptions are $0
Your Benefi plan covers hundreds of common generic medications at no cost. Essential plan members get 500+ generics, while Plus plan members get 1,000+ generics. These include medications for:
- Blood pressure and heart health
- Diabetes management
- Cholesterol control
- Allergies and asthma
- Common infections
- Mental health conditions
- Birth control
The $0 formulary focuses on proven generics that treat the most common health conditions. When your doctor prescribes a medication, they can check if it's covered at $0 through the Benefi app.
How to get your $0 prescriptions
Getting your covered medications is straightforward. After your Virtual Primary Care visit, your Benefi doctor sends the prescription directly to your preferred pharmacy. You'll need to show your Benefi member ID at pickup.
Using your pharmacy benefit
- Tell your doctor which pharmacy you use during your visit
- Your prescription goes directly to that pharmacy
- Show your Benefi member ID when you pick up
- Pay $0 for covered generics
You can use any pharmacy in the nationwide network — major chains like CVS, Walgreens, and Walmart, plus most independent pharmacies. Your member ID works at any participating location.
What if my medication isn't covered at $0
Not every medication is part of the $0 formulary. If your prescription isn't covered, you have options. You'll pay either the pharmacy's cash price or use a prescription discount through the Benefi app. Your doctor can also help find covered alternatives that work for your condition.
Brand-name medications and specialty drugs typically aren't part of the $0 benefit. But many conditions have generic options that work just as well. Your Benefi doctor knows the formulary and will prescribe covered medications whenever clinically appropriate.
The $0 prescription benefit makes it easier to manage chronic conditions and treat common illnesses without worrying about medication costs. Combined with $0 virtual doctor visits, members get the care and medications they need without financial barriers.
Frequently Asked Questions
Can I use my $0 prescription benefit at any pharmacy?
You can use your Benefi member ID at any pharmacy in the nationwide network, which includes major chains like CVS, Walgreens, and Walmart, plus most independent pharmacies. When you pick up your prescription, just show your Benefi member ID and pay $0 for covered generics. If you're unsure whether a pharmacy participates, you can check through the Benefi app or ask the pharmacist to verify your coverage.
What happens if I need a medication that's not on the $0 formulary?
If your prescribed medication isn't covered at $0, you'll pay either the pharmacy's cash price or use a prescription discount available through the Benefi app. Your Benefi doctor can also help find covered generic alternatives that treat your condition effectively. Many brand-name medications have generic equivalents on the formulary that work just as well clinically.
How do I know if a medication is covered before I go to the pharmacy?
Your Benefi doctor can check medication coverage during your Virtual Primary Care visit using the formulary in the Benefi app. They'll know which medications are covered at $0 and can prescribe accordingly. You can also check coverage yourself through the app before requesting a specific medication from your doctor.
Do I need to get prescriptions from Benefi doctors to get $0 medications?
While Benefi doctors can prescribe directly and know the formulary well, you can use prescriptions from any licensed provider with your $0 benefit. However, outside doctors may not be familiar with which medications are covered, so you might need to work with them to find alternatives if your original prescription isn't on the formulary.
Are there any limits on how many $0 prescriptions I can get?
There are no limits on the number of covered prescriptions you can fill at $0. As long as the medication is on your plan's formulary (500+ generics for Essential, 1,000+ for Plus), you pay nothing regardless of how many different medications you need or how often you refill them.