EpiphanyRx Member FAQs

Getting Started with EpiphanyRx Your prescription drug bene昀椀ts are administered services team can help you enroll to take by EpiphanyRx. EpiphanyRx is a pharmacy advantage of these savings. bene昀椀t manager known for clinical expertise and If you already use copay assistance, your out-of- exceptional member service. Below are a few pocket cost will not change. With copay assistance, commonly asked questions. If you have more only the amount you have paid out-of-pocket questions, please call EpiphanyRx customer care at will apply to your annual deductible and/or out- 1.844.820.3260 or visit epiphanyrx.com. of-pocket maximum. Some copay assistance How do I 昀椀ll a prescription? programs require re-enrollment annually. You will receive a new pharmacy bene昀椀t ID card Can I get a 90-day supply of from EpiphanyRx or your plan. This new ID card my medication? contains information to help your pharmacist process your prescription. Please present your Yes, maintenance medications can be 昀椀lled for a 90- ID card at the pharmacy whenever you 昀椀ll a day supply at a retail pharmacy or through our mail prescription. If you haven’t received your new order pharmacy, Costco Pharmacy. ID card yet, you may call member services at 1.844.820.3260 for assistance. How do I know if my drug is covered? The EpiphanyRx formulary (preferred drug list) is available at epiphanyrx.com. The formulary shows the drugs that are covered under your plan. Can I use copay assistance? You do not need to be a Costco member to use Yes. Many medications have copay assistance Costco Pharmacy. You can register online at programs, where a drug manufacturer pays for pharmacy.costco.com. part of the cost to make the medication more a昀昀ordable. If you do not currently use a copay If you have any mail order questions, please call assistance program, the EpiphanyRx member Costco Pharmacy at 1.800.607.6861. 1.844.820.3260 epiphanyrx.com

Costco Pharmacy Customer Service is available Monday through Friday, 7:00 a.m. to 9:00 p.m. (CST) and Saturday, 11:30 a.m. to 4:00 p.m. (CST). You can 昀椀nd a list of maintenance medications at epiphanyrx.com. Can I keep using my current retail pharmacy? The EpiphanyRx network has over 65,000 pharmacies. A complete list of pharmacies is available in the member portal accessed through epiphanyrx.com. Use the Pharmacy Search feature to search for in-network pharmacies. How do I fill my specialty medication? If you are taking or using a specialty medication, you will need to fill this prescription through our specialty pharmacy partner, Lumicera Health Services. Ordering prescriptions through Lumicera is simple. Just call a patient care specialist at 1.855.847.3553 to get started. They will work with you and your prescriber to get your prescription set up. How do I request reimbursement for pharmacy claims? You can request reimbursement for pharmacy claims by completing the prescription drug claim form at epiphanyrx.com/resources. You can be reimbursed directly for covered services up to the EpiphanyRx contracted amount. 1.844.820.3260 epiphanyrx.com © 2023 EpiphanyRX All rights reserved. 3860-1021CL