Prescription Drug Information
NetCare members have access to pharmacies on Guam, Saipan, Hawaii and the Continental United States through the Innoviant Pharmacy Network. Regular prescription drug co-payments will apply when accessing participating pharmacies.
To locate a pharmacy closest to you on Guam, CNMI, Hawaii or the Continental U.S., please call the Innoviant Customer Service toll free number at 1-877-559-2955. The pharmacy will need the numbers listed on the back of your member identification card in order to process your prescription electronically. For additional information, you can log on to www.innoviant.com
What is the Preferred Drug List (PDL)?
The Preferred Drug List is a list of the most common brand and generic prescription medications available at participating pharmacies. This is an abbreviated list and does not include every medication. All generics are covered at the First Tier whether listed or not. All brand medications are listed in the Second Tier; all non-preferred or non-formulary drugs are listed under the Third Tier; and all injectibles are listed under the Fourth Tier. This list is subject to change based on the review and recommendation of NetCare’s Pharmacy and Therapeutic Committee which meets on a quarterly basis and is made up of physicians and pharmacists representing various specialties. For further information on your prescription coverage, please refer to your Summary of Plan Description or Summary of Benefits.
What is the difference between brand name and generic medications and non-formulary drugs?
A generic medication is a copy of a brand-name medication. The color or shape may be difference, but the active ingredients must be the same for both. Generic medications must meet the same quality standards as brand-name medications. A Non-Formulary medication is a drug that is not listed in the Drug Formulary due primarily to the high cost of the drug. The FDA sets these standards and reviews all medications before they are marked. Your coverage for brand-name drugs where a generic is available may vary.
Required Information for Drug Processing
The following information is required for the pharmacy provider to process your prescription claims:
• Rx Bin: 610127
• Rx PCN: 02330000
• Rx Group: 02330075
Click on the following information for further resource and reference
 Innoviant Preferred Drug Listing (PDL)
Innoviant Prescription Drug Information
For further information, you can also log on to www.innoviant.com
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