Pharmacy
Prescription medicine coverage is part of your Choice Products plan. Where you choose to have your outpatient prescription drugs filled will determine how much you pay for your medicines. You have two pharmacy Tiers: Kaiser Permanente Pharmacies and Participating Pharmacies (MedImpact Pharmacies), and Non-Participating Pharmacies. You can choose any pharmacy Tier regardless of the prescribing provider’s tier status.
Kaiser Permanente Pharmacies
You can fill prescriptions (written by any provider) at pharmacies located in Kaiser Permanente medical offices and participating MedImpact pharmacies. You will always pay the lowest out-of-pocket costs at these pharmacies. Choose how to fill your prescriptions:
- At Kaiser Permanente medical offices. Most Kaiser Permanente medical offices across the region have pharmacies. Kaiser Permanente doctors can send most prescriptions electronically to the pharmacy—or you can present your prescription with your ID card.
- Online. Register at kp.org/register to order most refills online and have the medicine mailed to you.
- Through the Refill phone line. Call us at 1-800-611-1811 (TTY 711), 24 hours a day, and have the medicine mailed to you or available for pick up at any medical facility.*
To choose the Kaiser Permanente medical office where you’d like to pick up your prescription, visit kp.org/facilities.
Find out what drugs are covered.
To find out if your prescription medications are on the Plan drug formulary, you can click here for a list of approved drugs.
*A program operated or arranged by health plan that distributes prescription drugs to members via mail. Some medications are not eligible for the Mail Service Delivery Program. These may include, but are not limited to, drugs that are time or temperature sensitive, drugs that cannot legally be sent by U.S. mail, and drugs that require professional administration or observation.
Participating Pharmacies (MedImpact Pharmacies)
Prescriptions through participating retail pharmacies.
- You can fill prescriptions (written by any provider) at MedIimpact pharmacies.
- Kaiser Permanente Insurance Company contracts with MedImpact to fill your outpatient prescription drugs at retail pharmacies across the country.
- You can use any of the retail pharmacies nationwide in the MedImpact participating pharmacy network.
You can fill prescriptions at any participating MedImpact pharmacy. Here’s a partial list:
- Rite Aid
- Walgreens
- Kroger
Not all locations in a chain participate; some are independently contracted. To check on a specific pharmacy or for more information, call MedImpact Customer Service at 1-800-788-2949 (TTY 711) at any time.
Find out what drugs are covered.
- To find out if your prescription medications are on the Plan drug formulary, you can click here for a list of approved drugs.
Pharmacy Claims Address:
MedImpact Healthcare Systems, Inc.
P.O. Box 509098
San Diego, CA 92150-9098
Non-Participating Pharmacies
Fill your prescription (written by any provider) at any pharmacy.
- You will pay full out-of-pocket costs for prescriptions filled at Non-Participating pharmacies and then submit claims for reimbursement.
Find out what drugs are covered.
- To find out if your prescription medications are on the Plan drug formulary, you can click here for a list of approved drugs.
How to save money on prescriptions.
- You can fill prescriptions you get from Out-of-Network Providers at Kaiser Permanente medical offices, where you’ll usually pay the lowest copay.
- Just bring your prescription and your ID card to the medical office. To find medical offices, go to kp.org/facilities.
- If you are registered at kp.org, you’ll be able to order refills online or by phone and have them delivered, with no cost for postage (applies to most drugs).
- If you present a prescription for a drug that is not on the Kaiser Permanente formulary, the Kaiser Permanente pharmacist will likely check with the prescribing physician to determine if a therapeutic equivalent from the Kaiser Permanente formulary can be substituted.
- Information will become part of your Kaiser Permanente medical record, for better coordinated care.