Sharing eligibility for prescriptions

Inpatient Prescriptions
Eligibility:

  •  Prescriptions administered as part of inpatient treatment
    are sharable
  • These are subject to the Annual Unshared Amount (AUA)
    and co-share amounts.
  • Sharing is up to the $1 million annual maximum shareable
    amount.


Outpatient Prescriptions
Enhanced program:

  • Outpatient prescriptions are sharable only within the
    Enhanced program.
  • There is an annual cap of $1,000 per household per year.

FlexShare Submissions
All Other Prescription Costs:

  • Any prescription costs not shareable under the above
    categories can be submitted to FlexShare.

 

Please see guidelines for more details.