Your Pharmacy Benefit Manager (PBM): Ventegra
Ventegra is your Pharmacy Benefit Manager for the PPO, HDHP, and Coupe Health medical plans. They are responsible for processing and paying for your prescriptions.
How to Use Your Coverage
At the Pharmacy: Always present your Ventegra ID card information when picking up a prescription.
Need Help? If you have any trouble picking up a prescription, call Ventegra immediately at (877) 867-0943 for real-time assistance.
Where to Fill Prescriptions
Ventegra is accepted at thousands of pharmacies nationwide, including CVS, Costco, Dillons, Amazon Pharmacy, and most local independent pharmacies.
Prescription Tiers & Costs
- Know Your Copay: Your drug’s tier determines your copay.
- Check the Formulary: To see what’s covered, check for required prior authorization, and view the tier, visit MyVentegra.com and find the “Ventegra Premium Formulary” list (updated twice annually).
Specialty Medications (Tier 4)
While Thrive’s standard plans do not cover Tier 4 specialty prescriptions, Ventegra offers a powerful solution:
- Benefit Preservation Program (BPP): Ventegra’s BPP can help you obtain specialty drugs at a steep discount or even at no cost by utilizing assistance programs, including international sourcing.
- Action Required: If you need a specialty medication, call Ventegra directly at (877) 867-0943 right away. The set-up process takes time as Ventegra searches for the best assistance program, so do not delay!
- Thrive also partners with Rescrybe, in coordination with Ventegra, to help reduce out-of-pocket costs for high-cost brand and specialty medications. Eligibility is required. See the International Drug Program information below for more details.
- Benefit Preservation Program (BPP): Ventegra’s BPP can help you obtain specialty drugs at a steep discount or even at no cost by utilizing assistance programs, including international sourcing.
Ventgra Member Portal Flyer
Ventegra Sample ID Card
International Drug Program – Rescrybe
Special Eligibility Required
This program delivers eligible prescriptions right to your home from safe, licensed international pharmacies—often at $0 out of pocket.
Why Use Rescrybe?
- Significant Savings: Save hundreds to thousands of dollars annually.
- Trusted Sources: Medications sourced from Tier 1 countries (like Canada, the UK, and Australia) with the highest quality assurance.
- Same Quality: Most medications are from the same manufacturers and distributors used in the U.S.
- Convenience: Includes refill reminders and exceptional member service.
- Easy Start: Simple setup with minimal paperwork.
How it Works
1. Eligibility: A representative from Rescrybe will reach out to you directly via phone and email when you become eligible.
2. Getting Started: A Rescrybe pharmacy advocate will guide you through a simple process, which includes:
🔲 A photo of your government-issued ID.
🔲 A short medical questionnaire and consent form.
🔲 A prescription from your provider for a 3-month supply with 3 refills.
Note for HSA Members: You may need to meet your medical plan deductible before receiving medications at no cost.
Rescrybe International Program Overview
Rescrybe International FAQ
Discount Drug Programs
Looking for a cheaper way to obtain your prescriptions?
There are alternative programs to assist patients when purchasing prescriptions. These discount programs do not use your insurance and will not apply to your deductible or out-of-pocket.
- Good Rx https://www.goodrx.com
- Costplusdrugs https://www.costplusdrugs.com/
- Costco Pharmacy https://rx.costco.com/
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