Prescription Drugs


Important Notice

AlohaCare is pleased to announce that effective January 1, 2022, IngenioRx is our new Medicare PBM partner.

Please provide your pharmacy with your new member ID card and/or the new AlohaCare Advantage Plus (Medicare) Pharmacy Billing Information below: 

RXBIN: 020388 | RXPCN: IRXMEDD | RXGRP: RX42AD

Member ID Format: 15 digits, alphanumeric

Person Code: 2 digits, append to Member ID

  For members without a new AlohaCare Medicare ID card, please advise the pharmacy to submit an E1 transaction to receive updated eligibility information. Your pharmacy may contact IngenioRx Pharmacy Help Desk at 1-833-409-1225 if more help is needed.

 
 
Your Pharmacy Rx Drug Benefit for 2022
As a member of AlohaCare Advantage Plus (HMO SNP), you are automatically qualified for "Extra Help" to pay for your prescription drug costs. This is also called "Low Income Subsidy" or LIS.
 
Full AmountWith Extra Help from Medicare, depending upon your income and institutional status, you pay:
Deductible:$0
Generic:$0 or $1.35 or $3.95*
For all other drugs:$0 or $4.00 or $9.85*
 
* All cost sharing is based on your level of Medicaid eligibility. Contact Medicaid for details.
 
 

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