Coverage At The Pharmacy
If you’re enrolled in either Mission health plan, you receive prescription drug coverage. Find a Mission network pharmacy near you.
OptumRx is the administrator for our prescription benefits. Go to optumrx.com.
- Out-of-network prescription drugs are not covered.
- If you have a specialty medication, the Mission Health pharmacy must authorize and process it.
Non-North Carolina Residents
Team members and dependents who reside outside of North Carolina (including students away at college) are not eligible for Mission mail order pharmacy services, and so are not required to use the mail order pharmacy for maintenance medications. Mission Mail Order Pharmacy currently cannot mail prescriptions to addresses outside of North Carolina.
Important: Team members should assure their addresses are up-to-date in Infor Self-Service, and that dependent addresses are correct in Mission Healthspace.
Out-of-state team members and dependents who use an OptumRX Network pharmacy in their local area will help assure they are receiving the highest coverage from the pharmacy benefit if their out-of-state address is current.
- For the MCP plan, the pharmacy deductible will be waived for out-of-state residents at OptumRx Network pharmacies.
- For both the MCP and HSP plans, a Mission Health Network Pharmacy or an OptumRx Network pharmacy will be able to fill prescriptions of maintenance or non-maintenance medications for up to a 90-day supply.