Pharmacy benefits for prescription drugs are included with State Group Health (SGH) coverage and are provided by Navitus, regardless of which provider network or plan design you elect. Navitus processes prescription drug claims and maintains the drug formulary.
If you enroll in SGH, you will receive a Navitus ID Card. Visit the Navitus member portal to create your online account.
Pharmacy Benefits
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Pharmacy Benefits for Employees
Compare prescription costs (co-pay, co-insurance, and out of pocket limits) by plan design.
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Formulary and Pharmacy Search
Search the formulary for prescription drug price levels and find in-network pharmacies.
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Contact Navitus
Navitus Customer Care: 866-333-2757
Mail Order Prescription Program
Navitus offers a mail order prescription program through Serve You DirectRx Pharmacy. If you fill Level 1 and Level 2 formulary medications with this program, you receive a 90-day supply for the cost of 2 co-pays (60-days’ worth). More information is found on the Navitus website, the Serve You DirectRx website, and by calling Navitus Customer Care.
Navitus Specialty Pharmacy Program
The Navitus Specialty Pharmacy Program uses Lumicera or the UW Specialty Pharmacy. For more information, call Navitus Customer Care.
Forms
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Prescription Drug Claim Form
If you pay more for a covered prescription at a network pharmacy than your coverage requires (for example, if you fill a Rx before you have your cards), submit this claim form.
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FDA MedWatch Forms
For your doctor to complete if prescribing Level 3 prescriptions “Dispense as Written”
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Serve You DirectRx Pharmacy’s Mail Order
To begin using or to refill your prescriptions using Navitus’ mail order program
Publications
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Certificate of Coverage for Pharmacy Benefits
Details of services that will and will not be covered.