A pharmacy benefits manager manages members’ prescriptions and pharmacy needs.

ASCENDpbm is an industry-leading pharmacy benefit manager focusing on our patients, their experiences, and outcomes. Members have experienced cost savings and excellent customer service. By switching, the plan sponsor (or employer) will gain efficiencies by having ASCENDpbm as their primary PBM.

Typically employers assess PBM performance annually.  Member services, cost savings, and customer service are key factors in their assessment.

Your employer has selected ASCENDpbm, an industry-leading pharmacy benefit manager, with a focus on you as the patient, your experience, and your outcomes.  ASCENDpbm offers unique programs to generate savings for employees and their family members and is recognized for its commitment to excellent customer service.

Les membres devraient connaître peu de changements, en dehors d'une carte d'assurance actualisée, lors de la transition vers l'ASCENDpbm. Certains peuvent être informés ou contactés pour les informer des programmes d'économie disponibles pour réduire le coût de leurs prescriptions.

ASCENDpbm is an industry-leading pharmacy benefit manager (PBM) with a focus on the patient, their experience, and outcomes. Members have experienced cost savings and great customer service. By switching, the plan sponsor (or employer) will gain efficiencies by having ASCENDpbm as their primary PBM.

En outre, ASCEND compte plus de 65 000 pharmacies dans son réseau, dont les pharmacies CVS®, Walgreens® et Rite Aid®, qui sont facilement accessibles pour la plupart des membres dans leur zone de service. Il existe également plusieurs emplacements ouverts 24 heures sur 24, de sorte que les membres peuvent se procurer des ordonnances à toute heure du jour ou de la nuit. (Vous pouvez vérifier si votre pharmacie dispose d'une pharmacie ouverte 24 heures sur 24 avant de venir les chercher).

ASCEND has over 65,000+ pharmacies in their network, including CVS®, Walgreens®, and Rite Aid® pharmacies, which are easily accessible for most members in their service area.  To check if your pharmacy is ‘in network’ or to find a network pharmacy near you, use the pharmacy finder tool.

• Les membres réaliseront des économies en utilisant des pharmacies en réseau.

• Les pharmaciens des "pharmacies en réseau" ont accès à votre assurance-médicaments.

• Votre pharmacien "en réseau" vérifiera si vous êtes responsable des frais de prescription (par exemple, votre quote-part, toute coassurance ou franchise applicable)

En utilisant la vente par correspondance pour les médicaments d'entretien, vous pouvez :

• Recevoir un approvisionnement étendu en médicaments

• Bénéficiez d'une livraison pratique et gratuite à l'endroit de votre choix

• Parlez avec un pharmacien agréé 24 heures sur 24

• Commandez des recharges en ligne ou par téléphone 24 heures sur 24

Please note: Not all prescription drug benefit plans offer mail-order service. Please check your plan’s Benefits Guide or call the Member Help Desk at (833) 200-5040 to learn if your plan offers mail-order service.

ASCEND has a comprehensive list of covered drugs, also referred to as a Formulary or Preferred Drug List. It includes the most commonly covered medications with information about drug tiers and any restrictions or special requirements.

We may add or remove drugs from the formulary during the year. This includes changes to prior authorization requirements, step therapy, quantity limits, and/or moving a drug to a higher cost-sharing tier.

Specialty Medications are often expensive and prescribed to treat rare or complex diseases like cancer, multiple sclerosis, autoimmune diseases, and rare genetic conditions.  These medications often require special handling and additional services to support patients and are only available from select pharmacies known as Specialty Pharmacies. 

You can call the Member Help Desk at (833) 200-5040 or OptiMed at (877) 232-2857. A care specialist will help you transition your specialty prescription.

Review your plan’s Benefits Guide for up-to-date member costs for prescriptions. Members will be contacted if there are additional savings opportunities available for the medications they have been prescribed.