Prescription Drug Plan | RX through MedImpact formerly Elixir Solutions

Your drug plan through Elixir is as follows:

• Brand name you pay 50% up to $65
• Retail generic $15.00 co-pay
• Mail-Order generic $25.00
• Mail-Order Brand is 50% up to $130.00

We provide benefits for smoking cessation. Benefits are payable for one treatment cycle per calendar year and are subject to the lifetime max shown in the Benefit Summary. One course of treatment must be prior authorized by Medimpact at 877-437-9012.

Maximum Out-of-Pocket 

The maximum amount you will pay out-of-pocket for prescription drugs in a calendar year is $1,500 per member or $3,000 for family coverage. Did you know you can create your own account on Elixir Solutions, now Medimpact, website to access your pharmacy information?

Go to www.ElixirSolutions.com to register.

Mail Order Brochure

2025 Select RX Formulary

Elixir Member Diabetes Member Voucher