What’s covered and how to use your benefits
Our drug list, also known as a formulary, contains a detailed overview of the drugs we cover, along with the copay amount for each.
Use our drug finder tool to search for drugs that HAP covers. Some covered drugs may have requirements or limits. These are displayed in our drug finder tool, when you search for the drug
You or your doctor must get approval from HAP before your prescription is filled.
In some cases, HAP may require you to first try a certain drug to treat your condition before another drug is covered.
A limit on the amount of medication you can receive.
Prescriptions must be filled through our partner, Pharmacy Advantage.
The out-of-pocket costs for drugs are defined by tiers. For qualified health plans, they are:
Home delivery service and specialty provider service
HAP offers home delivery pharmacy services through Pharmacy Advantage, our contracted mail order provider. You can get up to a 90-day supply of some medications (new prescriptions or a simple refill). This saves time and money and eliminates trips to the pharmacy.