Resources

Your Pharmacy Benefits Made Easier.

Register in the Member Portal

Your Benefits, Working for You.

Whether you fill a prescription once a month or once a year, this page is for you: answers, resources, and support to make sure you get the medication you need, when you need it.

About prior authorization

Some medications require approval before your plan covers them. This review confirms that the medication is clinically appropriate and meets your plan’s coverage requirements.

How PAs work →

About the Savings Program

Our savings program is designed to lower what you pay for high-cost medications through three pathways: Patient Assistance Programs (PAPs), Alternative Sourcing, and copay cards offered by drug manufacturers.

How the Savings Program Works →

Please note: Our Savings team works hard to review available opportunities and identify the lowest possible cost for each medication. Enrollment in the DisclosedRx Savings Program does not guarantee that savings will be available for every member or prescription.

Your pharmacy benefits live in the portal.

Register once in the member portal and you can:

  • Check a price before you fill.

  • See your formulary.

  • Pull up your ID card.

  • Review your claims.

Register Now

You'll need your Member ID, your date of birth, and an email address.

Your Pharmacy Experience

Filling a prescription should take minutes, not hours. Behind the scenes, our team is checking prices, applying savings and working with your prescriber and pharmacist so your experience at the counter is simple and painless.

  1. 01

    Show your ID card

    Your digital card lives in the portal. Need a physical replacement? Call 888-589-3340 24-7 and we'll mail you one.

  2. 02

    Use an in-network pharmacy

    In-network pricing is the lowest pricing under your plan. Our Pharmacy Locator searches by ZIP code to find the nearest in-network pharmacy to you.

    Find a Pharmacy

  3. 03

    If the pharmacist mentions a prior authorization

    Your pharmacist or prescriber contacts us to start the review.

    Read how the process works →

  4. 04

    If you use a copay card

    If your medication is enrolled in copay assistance, the pharmacy may see this message: “Copay card override is required for processing the claim. Please call DisclosedRx at 480-561-6005.”

    This is normal. The message tells the pharmacy to call us so we can apply your savings correctly. Your fill may pause for a moment; it resolves quickly, and your savings apply at the counter.

Retail, mail-order, and specialty pharmacies: what's the difference?

Our Member Care Team: Two People Focused on You

At DisclosedRx, we have a member care team dedicated to helping you get the most out of your benefits.

Member Services, 24/7

A Member Advocate gives general assistance

Call a Member Advocate to:

  • Check your coverage
  • Answer prior authorization questions
  • Explain a copay or a cost
  • Find an in-network pharmacy
  • Fix a rejected claim
  • Assist you accessing the portal

Member Services

888-589-3340 care@disclosedrx.com

Savings Team, 8 a.m. to 8 p.m. ET, Monday through Friday

A Savings Advocate finds the lowest possible cost for your medication

  • Find lower-cost options for your medications
  • Identify Savings Program opportunities
  • Handle enrollment and paperwork
  • Help you access available savings

How the Savings Program works →

Savings Team

480-690-5091 savings@disclosedrx.com

Video Gallery

The Terms Worth Knowing

Pharmacy benefits come with vocabulary. Here are some important terms in plain English.

Pharmacy benefit manager (PBM)
Manages prescription coverage for your employer's health plan. That's us.
Formulary
The list of medications your plan covers.
Generic medications
They have the same active ingredient as the brand-name medications, approved to work the same way, almost always at a lower cost.
Brand-name
A medication sold under a manufacturer's trademarked name. It usually costs more than its generic counterpart.
Specialty medication
A medication for a complex or chronic condition that needs special handling or monitoring.
Step therapy
A rule that asks you to try a proven, lower-cost medication before a higher-cost one.
Quantity limit
A cap on how much of a medication you can receive at one time, set by clinical guidelines.
Formulary exception
Your doctor's request to cover a medication that isn't on the formulary when it's medically necessary.
Appeal
A request to review a coverage denial. You or your doctor can file one.
Copay
A fixed amount you pay for a prescription.
Deductible
What you pay out of pocket before your plan starts covering costs.
Rebates
Discounts from drug manufacturers. DisclosedRx passes 100% of rebates back to your plan.
Biosimilar
A chemically equivalent, FDA approved medication that replaces the originator biologic. Biosimilars are almost always a subset of Specialty medications.