Retail or mail order pharmacy network and drug price check

Scripps Health Plan members have three ways to obtain medications through the Prescription Drug Program:

1. Retail pharmacies

Prescription drugs that you will only take for a short time or that you need right away should be filled at a participating pharmacy through the MedImpact Pharmacy Network. Present your ID card and pay the appropriate copay for up to a 30-day (one-month) supply of your prescription.

2. Choice90 retail pharmacies

Certain long-term and “maintenance” medications (drugs that your physician prescribes for use on a regular basis for chronic conditions such as diabetes, high blood pressure, asthma, ulcers or high cholesterol) may be purchased at select retail Choice90 pharmacies. Present your ID card and pay the appropriate copay for up to a 90-day (three-month) supply of your prescription.

To locate a participating pharmacy, use the MedImpact Pharmacy Locator:

Pharmacy Locator

To check the price of drugs, use the MedImpact Drug Price Check:

Drug Price Check

3. Mail order service

Scripps Health Plan members may receive mail order prescriptions through Scripps Health Ambulatory Pharmacies.

To enroll in this convenient service:

1. Complete the Scripps Health Ambulatory Pharmacy Medication Order Form (PDF, 150 KB)
2. Fax it along with a list of your prescriptions to 619-686-3932

If you have questions about the program or process, call 858-964-1013.

Specialty medications

Specialty mediations are used to treat complex conditions and usually require particular medications for that condition. Specialty medications are more complex and are often used to treat conditions such as cancer, hepatitis C, hemophilia, multiple sclerosis, HIV and rheumatoid arthritis.

Scripps Health Plan members may receive specialty medications through Scripps Outpatient Pharmacy or through MedImpact Direct Specialty.

Your prescribing physician will forward your prescription directly to the specialty pharmacy.

For specialty medication services through Scripps Outpatient Pharmacy, contact:

Scripps Green Outpatient Pharmacy

Phone: 858-964-1101

Fax: 858-554-2544

For specialty medication services through MedImpact Direct Specialty, contact: 

MedImpact Direct Specialty 

8150 S. Kyrene Road, First Floor

Phoenix, AZ 85284

Phone number: 877-391-1103

Fax number: 888-807-5716

Email: specialtyhub@medimpactdirect.com

• MedImpact Direct Specialty Brochure (PDF, 1000 KB)

Prescription drug formulary

You can view the Scripps Health Plan Prescription Drug Formulary and also check the price of your medications using the MedImpact Member Portal.

• Prescription Drug Formulary (PDF, 7.3 MB)
• Preferred Drug List (PDF, 110 KB)

The Affordable Care Act (ACA) provides in-network preventive benefits with no out-of-pocket cost to you. Preventive services are based on government recommendations. You can view the current Essential Health Benefit zero copay drug list here (PDF, 200 KB).

MedImpact contact

For inquiries related to your prescription drug benefits or participating pharmacies, please call MedImpact customer contact center at 844-282-5343.

Hours of operation

24 hours a day, seven days a week.

Mailing address

MedImpact

10181 Scripps Gateway Ct

San Diego, CA 92131

Online help

Have questions about your prescription drug benefits? Visit the Medimpact Member Portal. Through this site and by logging in as a member, you can:

• Locate a participating retail pharmacy
• Locate a participating Choice90 pharmacy
• View formulary and preferred drug listings to assist in determining drug coverage and obtain cost estimates
• View information on pharmacy benefits
• View and print prescription drug history