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2018 Pharmacy Insurance – Administered by OptumRx

Group Number: KNOXCTY

Website: www.optumrx.com

Customer Service & Card Replacement: (844) 265-1774

Specialty Medication Pharmacy / BrioviaRx: (855) 427-4682

Use your OptumRx insurance card for pharmacy benefits.

In-network Pharmacies

To find an in-network pharmacy, follow this link.

Rates and Coverage

Please refer to the Benefits Guide for information on the rates and a summary of coverage.

Plan Documents

For a more detailed explanation of this benefit, please review this summary from OptumRx.

Click to read the Prescription Formulary and Prescription Preventive List. You can access the most up-to-date information by visiting www.optumrx.com.

Specialty Medications

Most drugs are “traditional medications.” A few drugs are considered “specialty” medications. Specialty medications will be subject to a coinsurance and maximum on Options 2 and 3.

Option 1 Option 2 Option 3
Value Medication* Deductible, then 20% up to the Out-of-Pocket Maximum 8% Coinsurance with a $100 Maximum/Rx
Preferred Medication* 15% Coinsurance with a $200 Maximum/Rx
Non-Preferred Medication* 25% Coinsurance with a $300 Maximum/Rx

 *Call the customer service number on the back of your OptumRx card to find out whether you are taking a value, preferred or non-preferred specialty medication. Ask your doctor and pharmacist about whether there are traditional medications or value specialty medications that you can try.

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Benefits

City County Building
400 Main Street
Suite 345
Knoxville, TN 37902

Phone: 865-215-3800
Fax: 865-215-2474

Hours:
Monday - Friday
8:00 am - 4:30 pm
Department Email