Prescriptions
Prescription Coverage
In 2026, our pharmacy benefits will be managed by SmithRx. You will continue to have one medical/pharmacy ID card with both Highmark medical and SmithRx information listed. Please provide your ID card information to your pharmacy and prescribing physician.
Filling prescriptions with SmithRx is easy. You may pick up at the pharmacy or use SmithRx’s large pharmacy network to fill your new and existing prescriptions via home delivery. Get the medications you take regularly through SmithRx home delivery service:
- Order up to a 90-day supply
- Pharmacists are available 24/7
- Set up medication reminders and automatic refills
Some easy things you can do today before your coverage begins.
You can do a few things now to help make the most of your plan once it starts.
- Tell your doctor that SmithRx will be your pharmacy benefit administrator for refills and future prescriptions.
- Understand brand name vs. generic medications and how they affect cost.
- Understand your coverage and what you need to do to get your medication.
Review your 2026 prescription drug formulary here.
Find pharmacy benefits FAQS here.
Additional Programs Through SmithRx
Connect 360 Access Traditional Program
This program is designed to help you enroll in copay assistance programs to help lower your cost of medications. If you are taking an eligible medication, you can complete three transitional fills while you’re enrolling in the program. If you do not enroll prior to your fourth fill, your claim will be rejected at the pharmacy. If you are taking qualifying medications, SmithRx will reach out to you. This is how the process will look:
- SmithRx will make multiple outreach attempts via phone, emails, and texts messages to inform you of the program. You can also call SmithRx at 844.385.7612 to get started!
- SmithRx will explain how to enroll in a copay card. This typically only takes 5 minutes to complete.
- Once you’re enrolled, SmithRx will help you coordinate with your preferred local in-network pharmacy. Your monthly fills will be available at low or for a $0 copay at your preferred pharmacy.
- If you need a new medication, your access specialist will fax your provider to confirm where the prescription should be sent.
- When you visit the pharmacy, present your SmithRx Member ID card. Please have your pharmacy add your copay card as a secondary payer.
- When your copay card expires, the pharmacy will realize a rejection and can assist you with renewing. If you encounter a higher-than-expected copay, reach out to the SmithRx Connect team
Mark Cuban Cost Plus Drugs Program (MCCPD)
This program is designed to offer you savings on select medications through mail order – specifically for high-cost generic medications. Here’s how the program works:
- If you are taking an eligible medication, you will be allowed three transitional fills while you enroll in the program. If you do not enroll prior to the fourth fill, your claim will be rejected at the pharmacy.
- SmithRx will reach out to you directly to inform you about the MCCP program. You can also initiate the process by calling 844.385.7612.
- The SmithRx team will help you enroll and transfer your prescriptions to a MCCPD account.
- Once you enroll, you can receive medications right at your doorstep, either at the cost of the mail order through your plan, or a specialty copay. You may even receive the medication at little to no cost.
- If you need a new prescription, SmithRx will coordinate with your provider to determine where it should be sent. You can also work directly with your provider to send the prescription directly.
Portal Access
You can manage your medications online. After coverage starts, use SmithRx’s mobile app or website to help manage your medications. You will be able to find a network pharmacy, check medication coverage, track home delivery orders, and much more.
Click here to access the member portal.
If it is your first time using the portal, select “Create Account”.