Are prescriptions Eligible for Sharing?

Prescription medications (Rx) related to a new diagnosis are eligible for sharing with limitations.

Prescription medication expenses for prescribed drugs that may be dispensed, injected, or administered can be credited toward the Annual Household Primary Responsibility Amount (PRA) if they are not considered treatment for a pre-existing condition.

After the member’s PRA has been met, eligible prescriptions are shared as follows:

• After the first $25 on generic drug prescriptions

• After the first $50 on brand-name prescriptions (when a generic equivalent is unavailable)

• Prescription medications must be purchased using the Impact member ID card (see RX information on the card)

• Members pay 100% of the prescription amount at the pharmacy at the time of purchase

• The shareable amount is limited to $1,200 per member, per membership year after the PRA has been met

Not eligible for sharing:

• Psychotropic medications (such as antidepressants, antipsychotics, and mood stabilizers)

• Birth control or contraceptive-related expenses

Exceptions may be made for medications used to treat cancer or for transplant recipients.

Members 65 and older must have Medicare Part D for prescription costs to be eligible for sharing. All sharing will be secondary to Medicare.

Prescription Savings

Even if a prescription is not eligible for sharing, members can still save with Impact’s Prescription Savings Program, available at more than 65,000 pharmacies nationwide.

$0 Generic Medications
All generic medications priced at $10 or less are provided at $0 cost to members when filled at pharmacies shown in the RX tool—just show your new Impact member card. Even if you haven’t met your annual household Primary Responsibility Amount (PRA)—or if the medication isn’t eligible for sharing—you’ll still pay $0.

Tip: Check both 30-day and 60-day quantities to see if $0 generics are available for your medications.

Brand and Specialty Medications
Searching for pricing in the Member Center is easy—the RX tool does the heavy lifting for you. It displays today’s best available price and identifies whether a manufacturer coupon is offered, which may be redeemable through mail order for additional savings on brand and specialty prescriptions.

Coupons are limited and may not always be available, but the RX tool continuously scans 30 networks, 65,000+ pharmacies, and millions of discounts nationwide to ensure you get the best price available at the time of search.

Show your Impact member card at the pharmacy to access savings—starting day one of membership.