Prescription Drug and Pharmacy
Remember to update your information with your pharmacy by showing your eternalHealth Member ID card, as all the information you need to fill your prescriptions is on your card.
Choose Your Location
Search for your drugs or find a pharmacy near you –
choose your location below.
We’ve curated a formulary (a list of covered drugs) with a team of healthcare providers that covers many medical conditions at an affordable cost. Use Our Online Look-Up Tool or Download the List.
Are you looking to find out if your local pharmacy is in our network? Use Our handy Online Look-Up Tool or Download the List to find your pharmacy today.
Medicare Prescription Drug Information (Part D)
Formulary Management Information
Learn more about eternalHealth’s formulary management.
Part D Late Enrollment Penalty (LEP) Reconsideration Request Form
Use this form to request a reconsideration for the elimination of your Part D Late Enrollment Penalty.
Mail Order Information
Save time and money by getting prescriptions delivered right to your door.
Drug Pricing Tool
See what drugs are covered under your eternalHealth plan and the costs associated.
There are options available to you if a prescription drug you are currently taking is not on our formulary or has restrictions.
A prior authorization may be required for certain prescription drugs.
Step Therapy Criteria
You may be required to try a certain drug to treat your medical condition before another drug is covered for that condition.
Coverage Determination Request Form
If you would like to request a coverage determination for a prescription drug, complete the coverage determination request form.
Member Reimbursement for Prescription Drugs
If you were billed for a covered prescription drug, please complete the attached form and attach the prescription labels so that we can reimburse you for your covered prescriptions.
Medication Management Therapy (MTM) and Safe Drug Disposal
Medications can play a big part in your health. You may have many drugs to take, and it is important to keep track. Having a Medication Management Therapy program can help, read about it here. If you have unused expired medications, we put together a few things you should know.
You may be able to receive extra help, also known as Low Income Subsidy (LIS), from Medicare for your prescription drugs.
Drug News, Alerts, and Recalls
Click here for the latest information about any news, alerts, and drug recalls from the FDA” under Drug News, Alerts, and Recalls.
Best Available Evidence
In certain cases, CMS systems do not reflect a beneficiary’s correct low-income subsidy (LIS) status at a particular point in time. As a result, the most up-to-date and accurate subsidy information has not been communicated to eternalHealth. To address these situations, eternalHealth applies the CMS Best Available Evidence (BAE) policy.
For additional information about the CMS BAE policy click here.