Hospitality Rx is part of UNITE HERE HEALTH—your union’s health fund. We’re a team of pharmacists and pharmacy technicians. We manage your prescription drug benefits.

• Visit hospitalityrx.org
• Click on the “Members” tab at the top of the page
• Select your plan
• Click on the “Find your nearest pharmacy” link under the red and blue pharmacy chart; then enter your city or zip code
  

• Visit http://drugs.hospitalityrx.org to use our drug lookup tool
• Select your plan
• Enter your drug’s class or name and hit “search”
• You will see a list of brand name and generic drugs covered by your plan (also called the “formulary”), along with a copay for each one. This search will also tell you if a medication is NOT covered.

Remember: generic drugs save you money!

These programs help make sure the medicines you take are safe, effective, and are being used correctly. As always, you should work with your doctor to decide which drug works best for you.

• Prior Authorization: Before your plan will cover a certain drug, you doctor must request approval and show that it is medically necessary.
• Step Therapy: You must first try a less expensive drug (one that’s proven to be just as effective) before you can move up—or “step”—to a more expensive drug.
• Quantity Limit: Safe limits on the amount of drugs a plan covers during a certain period of time.

To find out if your medications have quantity limits or require prior authorization or step therapy, use our drup lookup tool at: https://drugs.hospitalityrx.org.

There are several reasons why a medication isn’t covered:

• You do not have a valid prescription or no prescription is needed.
• Your prescription requires prior authorization.
• It is not on your Formulary (the list of brand name and generic drugs covered by your plan).
• It is not a covered benefit.
• It is a medical device (devices aren’t covered under your pharmacy benefit but may be covered under your medical benefit).
• It is new or experimental.
• The Food and Drug Administration (FDA) has decided that it isn’t effective and/or safe.
• The medication is something given in your doctor’s office like injections or inhalers. (These may be covered under your medical)
• You no longer have coverage with UNITE HERE HEALTH.

Please call Hospitality Rx if you have questions: (844) 484-4726

 

• Visit http://drugs.hospitalityrx.org to use our drug lookup tool
• Select your plan
• Enter the name of the drug that isn’t covered or select its class
• This search will give you a list of alternative drugs or a phone number to call
• After you call the phone number, work with your doctor to decide which drug will work best for you

Please call Hospitality Rx if you have questions: (844) 484-4726

• Specialty drugs are high-cost medicines used to treat complex conditions such as cancer, rheumatoid arthritis, and HIV.
• Because these drugs require special handling, only WellDyne Specialty Pharmacy can fill and deliver these prescriptions (through mail order). To enroll with Welldyne Specialty Pharmacy, call (800) 373-1879.
• Atlantic City and Chicago members only: you can fill specialty drug prescriptions at the health center’s on-site pharmacy.

Please call Hospitality Rx if you have questions: (844) 484-4726

• Call WELLDYNE Rx: (844) 813-3860
• For specialty drugs, see question above

If you are eligible to receive a reimbursement, you must first complete the Reimbursement Claim Form.

• Visit hospitalityrx.org
• Click on the “Members” tab at the top of the page
• Select your plan
• The Reimbursement Claim Form is listed in the “Forms” section

You must complete a separate form for each family member. Please make sure to include the following:

• Original pharmacy receipt with prescription details
• Complete name, address and telephone number of the pharmacy
• You may have to contact the pharmacist to get more detailed drug information

Mail the completed form and original receipt(s) directly to WelldyneRx (the address is listed on the form). You will receive a response within 30 days.

If you or your pharmacist have questions about this form or the reimbursement process, please call WelldyneRx at (844) 813-3860. This number is available 24 hours a day.

• Contact Hospitality Rx at (844) 484-4726 and we will mail you a card.

• To get a vacation override, member and dependents must submit a copy of their itinerary that includes their name, date of birth, and medication list.
  • Fax to (877) 245-0875, or
  • Email to Hospitalityrxpa@uniteherehealth.org
• The Hospitality Rx team will contact your pharmacy to process the medication.

A pharmacy can initiate the appeal process by calling 888-886-5822 or by submitting a completed MAC Price Appeal Review Request form available on the secure website https://welldyne.com/for-pharmacies:

1.    via fax to (855) 404-0968,
2.    via email to RetailManager@NetCardsystems.com, or
3.    via mail to WellDyneRx, LLC, 500 Eagles Landing Dr, Lakeland, FL 33810, Attn: MAC Price Appeals