Your mail order and specialty pharmacies

SmithRx remains your pharmacy benefit manager for 2027. Because SmithRx owns no pharmacies of its own, you may be directed to a particular partner to get the lowest price on a given drug.

Mail order

Specialty

Specialty drugs filled through mail order are a $0 copay on both medical plans.

Mail order — four months free

A 90-day mail order supply costs two copays instead of three. Over a year that works out at roughly four months of prescriptions free compared with filling monthly at retail.

Sending a prescription to Amazon Pharmacy

• e-prescribe — ask your doctor to send it to Amazon Pharmacy Home Delivery.
• Fax — (512) 884-5981.
• Phone — (855) 206-3605.

Amazon Pharmacy is fully accredited, fills most brand and generic medications, offers 24/7 access to a pharmacist, free shipping and upfront pricing.

SmithRx Connect — lowering the cost of expensive drugs

• Patient Assistance Programs — many high-cost specialty drugs can be obtained through advocacy foundations and grants. SmithRx navigates the applications for you.
• Copay Coupon Maximization — where assistance isn't available, the Copay Max program captures manufacturer coupon savings.
• International Sourcing — a contracted network of first-tier-country pharmacies for select qualifying medications.

Qualifying specialty medications obtained through these routes are available at a zero copay.

Access Plus

If you take a medication that qualifies, a SmithRx specialist will contact you by phone or email. If approved, the medication ships to you free of charge.

• You'll e-sign an authorization so the specialist can apply on your behalf.
• Some applications need extra documentation, submitted by secure encrypted email.
• Some need your doctor to submit forms.
• You cannot opt out — Access Plus is part of the plan's benefit design, and participation is required for continued coverage of those drugs.
• Still required even if a copay coupon already brings your cost to $0, because the employer pays the remainder.
• If denied, and the drug is on the formulary, you continue through the normal pharmacy benefit.
• Questions: (844) 454-5201.

Formulary, prior authorization and step therapy

• Find your formulary in the member portal at member.mysmithrx.com or in the SmithRx app. It changes over time, and being listed doesn't by itself guarantee coverage.
• Find My Meds — enter a prescription in the portal or app to see the lowest-cost pharmacy for it and your estimated out-of-pocket cost.
• If your drug isn't covered, there may be a lower-cost alternative. If you've exhausted alternatives, your doctor can seek an exception on medical necessity grounds.
• Prior authorization — some medications need clinical review first. Your doctor submits it; you usually need do nothing. Non-urgent requests take about 5 days and up to 15; urgent ones under 3 business days. Track the status in the portal or app.
• Step therapy — some conditions require trying one medication before the plan covers another.

What it costs

Your copays are set by whichever medical plan you're enrolled in — see the Medical Plan page for the full retail and mail order tables.

In short: generics are $10–$20 for a 30-day retail fill, and a 90-day mail order supply costs two copays. Specialty drugs are $0 through mail order.

Who's eligible

Employees and dependents enrolled in the Badger medical plan.

Questions

• Phone(844) 454-5201
• Emailhelp@smithrx.com
• Websitemember.mysmithrx.com
• Badger HR(724) 631-1119 · hr@badgerind.com