If your Rx isn't on the list
Ask your Benefi doctor about a covered alternative first.
You checked your prescription at the pharmacy and it's not showing as $0. This happens when a medication isn't on the Benefi formulary, which includes 500+ generics on Essential plans and 1,000+ on Plus plans. Here's what you can do to manage your medication costs.
Ask your Benefi doctor about alternatives
Your first step is connecting with a Benefi doctor through the app. They can review medications on the formulary that treat your condition. Many common health issues have multiple medication options, and your doctor can help find one that's both clinically appropriate and covered at $0.
For example, if you're prescribed a brand-name blood pressure medication, there may be several generic alternatives on the formulary that work just as well. Your Benefi doctor can make this switch during your virtual visit and send the new prescription directly to your pharmacy.
Understanding medication costs
When a medication isn't on the Benefi formulary, you have options:
- Pay the cash price at the pharmacy (prices vary by location and medication)
- Use a prescription discount program like GoodRx alongside your Benefi membership
- Check if your medication has a manufacturer savings program available
Cost-saving tip
Ask your pharmacist about the cash price before filling. Sometimes paying cash is less expensive than using other discount programs, especially for common generic medications.
Get help finding the right medication
The Benefi care team can help navigate your options. During your virtual visit, be specific about any medications you've tried before and any side effects you experienced. This helps your doctor find the best alternative from the formulary.
If you have a chronic condition requiring ongoing medication, establishing care with the same Benefi doctor for follow-ups ensures continuity. They'll understand your medication history and can adjust your treatment plan as needed while keeping costs in mind.
Remember that formularies are designed around the most commonly prescribed, clinically proven medications. While not every medication is $0, the formulary covers treatments for most common health conditions. Your Benefi doctor is your best resource for finding covered options that work for your specific situation.
Need help with your prescriptions? Connect with a Benefi doctor 24/7 through your app.