The cost of your medications depends on your plan and the tier your medication is placed on. Please see your plan documents for the pricing of your medications. Our plans have five tiers: Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, and Specialty. The lowest tier (tier 1) will have the least expensive copay. The highest tier (tier 5) will have the most expensive copay. If you have questions about the cost of your medications, please call 1-833-975-1281.

You can fill your medications at any in-network pharmacy up to a 30-day supply. Our pharmacy network is broad, and you can find a pharmacy near you with our Idaho pharmacy directory or within the pharmacy portal. Maintenance medications (anything over a 30-day supply) can be filled at St. Luke’s outpatient pharmacies or St. Luke’s Mail Order Pharmacy. Please call St. Luke’s Mail Order Pharmacy at 208-706-6245 for more information about enrolling for mail order services.

The St. Luke’s Mail Order pharmacy serves as the mail order service for the St. Luke’s Health Plan. No more waiting in long lines at the pharmacy for your maintenance medications.

St. Luke’s Mail Order pharmacy can save you money on your maintenance medications. You can get up to a 100-day supply of your generic maintenance medications for the price of a 60-day supply filled at St. Luke’s Mail Order pharmacy. For your maintenance medication needs, please call the St. Luke’s Mail Order Pharmacy at 1-208-706-6245 for more information about how to enroll for mail order services.

Specialty medications are high-cost medications used to treat rare or complicated conditions such as cancer, rheumatoid arthritis, and multiple sclerosis, to name a few. Specialty medications are listed as tier 5 on the Prescription Drug List.

Most specialty medications are required to be filled through St. Luke’s Specialty Pharmacy. The St. Luke’s Specialty Pharmacy offers best-in-class care and support. To learn more about the preferred specialty pharmacy, call 1-208-205-7779.

St. Luke's Health Plan does not require High Deductible Health Plan (HDHP) participants to meet their deductible prior to covering drugs in some drug categories. If you are enrolled in an HDHP, you will not have to meet your deductible before the Plan contributes to the cost of your prescription for medications listed in the categories below. Refer to the Prescription Drug List for a list of medications in the following categories:

• Asthma and COPD
• Blood Thinners
• Brand Contraceptives
• Cardiovascular
• Cholesterol
• Diabetes (Insulin, Non-Insulin, and Test Strips)
• Osteoporosis

If your medication requires prior authorization, your doctor will need to send additional information to St. Luke’s Health Plan prior to the plan covering the medication. This is to help save you money and ensure we are safely using medications. Refer to the Prescription Drug List for a list of medications that require prior authorization. Please ask your doctor to call 1-833-975-1281 to obtain the required forms to start the prior authorization process.