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ARORx Welcome Packet
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833-306-4092
Every change has it’s challenges. Follow these best practices for a smooth start. Tips for a successful start:
1. Once your coverage starts, don’t fill your first prescription going into a weekend, a holiday, or right before your vacation. Please fill with at least 3 business days to spare so our team can solve any scenarios that may pop up. 2. Call your pharmacy before you pick up your first fill to give them your new plan information and confirm your cost before you’re standing in line. 99% of pharmacy calls ARORx receives during implementation are due to pharmacies running old plan information. 3. Call ARORx for assistance. If you have any questions or need assistance, contact ARORx 24/7 at 833-306-4092 . After your initial start of benefits, if you receive a new prescription from your doctor: 1. Call the pharmacy before picking up the new drug to confirm your cost. 2. When the pharmacy runs your prescription in their system, they will be notified if it’s a drug you’ll need to fill through ARORx. 3. If you need to fill through ARORx, contact ARORx to start the process immediately or ARORx will contact you the following business day.
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High Cost Drug Experience
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ARORx completes all your paperwork. You only need to sign and provide a copy of your most recent tax return.
If you’re taking one of the drugs on the high cost drug list on page 4 & 5, contact ARORx at 833-306-4092 immediately to begin your new fill process.
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ARORx works with the program for timely processing, and when qualified, drugs will be delivered directly to your home, or preferred delivery location, after October 1st. No cost to you!
ARORx works directly with your physician to complete the physician portion of the paperwork.
What if I don’t qualify?
ARORx has an 85% success rate of employees qualifying for programs. For the remaining who typically do not qualify due to income:
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ARORx maximizes copay assistance at your local pharmacy or PBM mail order. No or low cost to you!
Drugs filled through international mail order pharmacy No cost to you!
You receive your prescription at low or no cost!!
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High Cost Drug List - Continued The most common high cost drugs are listed below. This list is not an exhaustive list of all high cost drugs, and ARORx may contact you on drugs not listed.
FENSOLVI FERAHEME FERRIPROX FIRAZYR FIRDAPSE FLUDARABINE FLUOROURACIL FORTEO G GALAFOLD GAMMAGARD LIQUID GAMUNEX-C GATTEX GILENYA GILOTRIF GLATIRAMER ACETATE GLATOPA GLEEVEC GLEOSTINE GOCOVRI GRANISETRON HCL GRANIX H HAEGARDA HARVONI HEMANGEOL HEMLIBRA HERCEPTIN HERZUMA HIZENTRA HUMATE-P HUMATROPE HUMIRA HYALGAN HYCAMTIN HYDROXYPROGESTERONE CAPROATE I IBRANCE ICATIBANT ICLUSIG IDELVION IDHIFA ILARIS ILUMYA IMATINIB MESYLATE IMBRUVICA GEL-ONE GELSYN-3 GENOTROPIN
CIMZIA CINACALCET HCL CINRYZE COPAXONE COSENTYX 150MG COSENTYX 300MG COSYNTROPIN COTELLIC CRYSVITA CYCLOPHOSPHAMIDE CYTARABINE D DALFAMPRIDINE ER DARAPRIM DARZALEX DARZALEX FASPRO DECITABINE DEFERASIROX
INBRIJA INFLECTRA INGREZZA INJECTAFER INLYTA INVEGA SUSTENNA INVEGA TRINZA ISTURISA J JADENU JADENU SPRINKLE JAKAFI JUXTAPID JYNARQUE K KALYDECO KEVZARA KEYTRUDA
A ABILIFY MAINTENA ABIRATERONE ACETATE ACTEMRA ACTHAR ACTIMMUNE ADEFOVIR DIPIVOXIL ADEMPAS ADVATE
AFINITOR ALECENSA
ALKERAN ALPROLIX AMBRISENTAN
AMPYRA APOKYN ARANESP ARCALYST ARESTIN
DIACOMIT DUPIXENT DUROLANE DYSPORT E ELAPRASE ELIGARD ELOCTATE EMFLAZA ENBREL ENDARI ENHERTU ENTECAVIR ENTYVIO EPCLUSA EPIDIOLEX EPIVIR HBV EPOGEN
KINERET KISQALI KISQALI FEMARA COPACK KITABIS PAK KOGENATE FS KORLYM KOSELUGO KUVAN KYPROLIS L LAMIVUDINE LEDIPASVIR-SOFOSBUVIR LENVIMA LETAIRIS LEUPROLIDE ACETATE LEVULAN LILETTA
ARIKAYCE ARISTADA AUBAGIO AUSTEDO AVASTIN AVONEX PEN AVSOLA AYVAKIT AZACITIDINE B BALVERSA BENEFIX BENLYSTA BEOVU BETASERON BETHKIS BEXAROTENE BOSENTAN BOSULIF BOTOX CABOMETYX CALQUENCE CAPECITABINE CARBAGLU CARBOPLATIN CAYSTON BRAFTOVI BYNFEZIA C
LONSURF LUCENTIS
ERIVEDGE ERLEADA ERLOTINIB HCL ESBRIET ETOPOSIDE EUFLEXXA EVENITY EVEROLIMUS EXJADE EXTAVIA F FARYDAK FASENRA FASENRA PEN
LUPANETA PACK LUPRON DEPOT LUPRON DEPOT-PED
LYNPARZA LYSODREN M MAKENA MATULANE MAVENCLAD
MAVYRET MAYZENT MEKINIST
CERDELGA CIDOFOVIR
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833-306-4092 High Cost Drug List - Continued
SENSIPAR SEROSTIM SILIQ SIMPONI SKYLA SKYRIZI SOFOSBUVIRVELPATASVIR SOMATULINE DEPOT SOMAVERT LDD
PALFORZIA PALONOSETRON HCL PALYNZIQ PEGASYS PEMAZYRE
MEKTOVI MELPHALAN HCL
TURALIO LDD TYKERB TYMLOS TYSABRI LDD TYVASO LDD U UDENYCA UPTRAVI LDD V VALCHLOR LDD VARUBI LDD VELCADE VELTASSA VEMLIDY VENCLEXTA LDD VENOFER VERZENIO VIGABATRIN LDD VIVITROL VOSEVI VOTRIENT VUMERITY LDD VYNDAMAX LDD VYNDAQEL LDD W WAKIX LDD X XALKORI XELJANZ XELJANZ XR XEOMIN XGEVA XIAFLEX LDD XOLAIR XOSPATA LDD XPOVIO LDD XTANDI LDD XYNTHA XYREM LDD Y YONSA Z ZARXIO ZEJULA LDD ZELBORAF LDD ZEPOSIA LDD ZIRABEV ZOLEDRONIC ACID VYEPTI LDD VYLEESI LDD
MESNEX MIRENA MONOVISC MOZOBIL MULPLETA MYLERAN MYOBLOC N NERLYNX NEULASTA NEUPOGEN NEXAVAR
PENTAMIDINE ISETHIONATE PERJETA PIQRAY PLEGRIDY
SPINRAZA LDD SPRAVATO LDD SPRIX LDD
POMALYST PRALUENT PREVYMIS PRIVIGEN PROCRIT PROCYSBI LDD PROLASTIN C LDD PROLIA PROMACTA PULMOZYME PURIXAN Q QINLOCK LDD R RAVICTI LDD REBIF REBIF REBIDOSE REBLOZYL RECOMBINATE RELISTOR RELIZORB REMICADE REMODULIN LDD RETEVMO LDD REVLIMID LDD RIBAVIRIN RINVOQ ER RISPERDAL CONSTA RITUXAN REPATHA RETACRIT RITUXAN HYCELA ROZLYTREK LDD RUBRACA LDD RUXIENCE RYDAPT S SABRIL LDD SAMSCA LDD SANDOSTATIN LAR DEPOT SARCLISA LDD
SPRYCEL STELARA STIMATE
NEXPLANON NILUTAMIDE NINLARO NIVESTYM NORDITROPIN
STIVARGA LDD STRENSIQ LDD SUBLOCADE LDD SUCRAID LDD SUPPRELIN LA SUTENT SYMDEKO
NORTHERA NOURIANZ NPLATE
SYNAGIS SYNVISC SYNVISC-ONE T
NUBEQA NUCALA NUPLAZID NUTROPIN AQ
TABRECTA TAFINLAR
NUWIQ NUZYRA O
TAGRISSO LDD TAKHZYRO LDD TALTZ TALZENNA TARCEVA TARGRETIN TASIGNA
OCALIVA OCREVUS OCTREOTIDE ACETATE ODOMZO OFEV OLUMIANT OPSUMIT ORALAIR ORENCIA ORENCIA CLICKJECT ORENITRAM ER ORKAMBI ORTHOVISC OSMOLEX ER OTEZLA OXALIPLATIN OMNITROPE ONTRUZANT
TAVALISSE LDD TAZVERIK LDD TECFIDERA LDD TEMOZOLOMIDE TETRABENAZINE THIOLA EC LDD THYROGEN TOBI TOBI PODHALER TOBRAMYCIN SULFATE TRACLEER LDD
TRELSTAR TREMFYA TRETINOIN TRIENTINE HCL TRIKAFTA TRODELVY TUKYSA LDD
ZOMACTON ZYDELIG LDD ZYKADIA ZYTIGA
OXBRYTA OZEMPIC P PACLITAXEL PADCEV
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ARORx partners with Drexi to bring you a transparent prescription and unique portal access for your non-high cost/specialty drugs. Transparency of costs and options for pharmaceuticals allows participants to be smart consumers of their healthcare needs. Each member and their spouse and dependent(s) will have a separate account and login. Because of HIPAA regulations each member will only see their own member details (Active prescriptions, prescription history and spend summary. Start at https://drexi.com . Click on Enroll Now. The first step of account creation is member validation by entering some basic information about who you are. We use email address as your account name since everyone has one, it is unique and easy to remember. Your zip code allows us to preset the drug search criteria to nearby pharmacy locations. Choose the “I have a membership card from my employer or primary subscriber” option to avoid registering for another plan. 833-306-4092 Getting Started with Drexi
On “Submit” you will be sent a link to confirm your email address. You will see the following when you “click” the link:
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Be sure to Bookmark https://drexi.com for future use. You can access the Drexi membership portal from any web browser and on any device. (The application by default sets the screen orientation and menus to be compatible with any device’s screen size.) Click “Login” to sign into the application.
If you have forgotten your password click on ‘Forgot password?’ from the login screen to enter your account email address and click on ‘Send’. You will get a password reset email with a one-time use link to aid in recovery of your account via a password reset.
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Easy as 1.2.3.4 to access your Prescription Plan benefits:
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833-306-4092 Account Activity
Upon successful login, you will be taken to the Drexi Drug Search to identify where to get the best price for your prescription. Additionally, you will see your prescription history up to this point.
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833-306-4092 Drug Search
Drug search helps you see what the cost of your prescription will be at various pharmacies near the location you specify (not all pharmacies price a given drug the same so shopping will save you and your employer money). Additionally, it has other features to make it very easy to use: 1. Knows your plan benefits - The application knows your copay and deductible status towards maximum out of pocket dollars to show the most current calculated results. 2. Location aware – the application gives you the ability to search by current location, zip code or a known address. This allows you to find a pharmacy for your prescription fill closest to your physician’s office, your home, work or travel location. 3. Intelligent distance and price algorithm- the order of search results is driven by an algorithm that weighs price and distance. But generally, shows the lowest price found in nearby pharmacies from our network of over 65,000 pharmacies. 4. Filtering by pharmacy type - Need a prescription fill or refill after hours? Filter the results on 24-hour pharmacies. 5. Generic drug equivalents – generic alternatives are automatically substituted when available to minimize your prescription costs. Need the specific brand? Just choose the brand from the ‘Drug Type’ dropdown filter in the search results and you can see those brand name drug prices to choose your pharmacy. To locate the best nearby pharmacy to fill your prescription, simply start to type in the name of your prescription drug and the application will offer “smart completion” of your entry. Let's say you are looking for Lipitor:
Completing the drug name and clicking on the green search button will return the results showing pricing at various pharmacies in your vicinity.
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In this case there is a generic bioequivalent available and Drug Search automatically switches the result to the less costly generic.
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The application provides a list of pharmacies, sorted by distance and cost from your location, their phone number, and if you click on the address will show you a map of where the pharmacy is:
The application, by default, uses your home zip code for finding pharmacies. If you want to search from another location or want to filter the kinds of pharmacies to return, click on the "Change Location and Filter Results" link. You will then see the option to specify an address (exact address, or city/state or zip or your current physical location):
In addition, you may specify various pharmacy characteristics such as Open 24 hours.
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The application, by default, uses the most common drug form, strength and doseage. If your prescription is different simply click on "Update Quantity, Form, Strength" and you will be able to specify other values:
You also have the option to check out what the cost would be from a mail order pharmacy by clicking on Mail Order instead of the default, Local:
If you want to compare the generic to the brand that you specified, you may do that by clicking on the brand name in the dropdown:
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That will then display the same information as above, but for the brand drug, along with any restrictions that the plan has in place for the brand, the contribution your employer will be making, and if there is a manufacturer's savings program, a link to that program.
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Questions? Call your ARORx concierge Rx management team at 833-306-4092!
(833) 306-4092 [email protected]
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