常见问题解答(FAQs)

 

什么是药房福利管理人(PBM)?

A pharmacy benefits manager manages members’ prescriptions and pharmacy needs.

ASCENDpbm is an industry-leading pharmacy benefit manager focusing on our patients, their experiences, and outcomes. Members have experienced cost savings and excellent customer service. By switching, the plan sponsor (or employer) will gain efficiencies by having ASCENDpbm as their primary PBM.

为什么PBM会发生变化,我会受到怎样的影响?

Typically employers assess PBM performance annually.  Member services, cost savings, and customer service are key factors in their assessment.

Your employer has selected ASCENDpbm, an industry-leading pharmacy benefit manager, with a focus on you as the patient, your experience, and your outcomes.  ASCENDpbm offers unique programs to generate savings for employees and their family members and is recognized for its commitment to excellent customer service.

除了更新保险卡外,会员在过渡到ASCENDpbm的过程中应该不会有什么变化。有些人可能会收到通知或联系,告知他们有什么节省计划可以降低他们的处方费用。

为什么我的药店福利会发生变化?

ASCENDpbm is an industry-leading pharmacy benefit manager (PBM) with a focus on the patient, their experience, and outcomes. Members have experienced cost savings and great customer service. By switching, the plan sponsor (or employer) will gain efficiencies by having ASCENDpbm as their primary PBM.

此外,ASCEND在其网络中拥有超过65,000多家药店,包括CVS®、Walgreens®和Rite Aid®药店,这些药店对于服务区域内的大多数会员来说都很方便。此外,还有几家24小时营业的药店,因此会员可以在白天或晚上的任何时间领取处方药。您可以在取药前确认您的药房是否有24小时药房)。

为什么在"网络内"药房配药对我很重要?

ASCEND has over 65,000+ pharmacies in their network, including CVS®, Walgreens®, and Rite Aid® pharmacies, which are easily accessible for most members in their service area.  To check if your pharmacy is ‘in network’ or to find a network pharmacy near you, use the pharmacy finder tool.

  • 会员通过使用"网络内"药店将享受到节省的费用。

  • 网络药店"的药剂师可以使用您的处方保险。

  • 您的"网络内"药剂师将查看您是否需要承担任何处方费用(例如,您的共付额、任何适用的共同保险或自付额)。

通过邮购买药有什么好处?

采用邮购方式购买保养药,可以。

  • 获得延长的药品供应

  • 享受便捷的免费送货到您所选择的地点。

  • 24小時與註冊藥劑師交談。

  • 24小时在线或电话订购续杯。

Please note: Not all prescription drug benefit plans offer mail-order service. Please check your plan’s Benefits Guide or call the Member Help Desk at (833) 200-5040 to learn if your plan offers mail-order service.

什么是处方表,或者说是首选药物清单?

ASCEND has a comprehensive list of covered drugs, also referred to as a Formulary or Preferred Drug List. It includes the most commonly covered medications with information about drug tiers and any restrictions or special requirements.

We may add or remove drugs from the formulary during the year. This includes changes to prior authorization requirements, step therapy, quantity limits, and/or moving a drug to a higher cost-sharing tier.

什么是特药?

Specialty Medications are often expensive and prescribed to treat rare or complex diseases like cancer, multiple sclerosis, autoimmune diseases, and rare genetic conditions.  These medications often require special handling and additional services to support patients and are only available from select pharmacies known as Specialty Pharmacies. 

吃了专科药该怎么办?

You can call the Member Help Desk at (833) 200-5040 or OptiMed at (877) 232-2857. A care specialist will help you transition your specialty prescription.

我的药费会不会保持不变?

Review your plan’s Benefits Guide for up-to-date member costs for prescriptions. Members will be contacted if there are additional savings opportunities available for the medications they have been prescribed.