Discontinuing Rxtra in May

We will be discontinuing the Rxtra program for new and renewing large and small groups (transition, SHOP, and direct), effective May 1, 2018, and later. It will be removed from your groups’ plans upon their renewals. Please notify your employer groups of this change, and employer groups should notify their employees.

The program was originally meant to bring members and employer groups cost-savings. Unfortunately, it no longer meets those standards of savings.

Self-funded groups can request to continue the Rxtra program, but it will add to admin costs and higher paid claims for the group.

While we work to implement an alternative program, we would like to remind you that the member is charged the lesser of the cost of the prescription or the copay. Most Rxtra medications are on our low cost medication list, so members will likely pay less than their full copay. And given the low costs of these medications, members with coinsurance will be minimally impacted.

Members will also be able to receive 90-day fills of these prescriptions now. Under Rxtra, they were limited to 30-day fills.

We will let you know details of our new program as they become available. If you have any questions, contact your client consultant.