Pharmacy Benefit Managers
HMO Coverage
The CLE-Care HMO Plan includes prescription drug coverage through MetroHealth pharmacies.
PPO and HDHP Coverage
Prescription coverage for the Medical Mutual Preferred Provider Organization (PPO) plan and High Deductible Health Plan (HDHP) is through a separate pharmacy benefit management (PBM) carrier, MedImpact.
Learn more about maintenance prescriptions and the mail order pharmacy.
- MedImpact Formulary Drug List
- MedImpact Preferred Drug List
- MedImpact Formulary Exclusions
- MedImpact Preferred Diabetes Supplies
| MedImpact (MI) | BirdiTM | MedImpact Direct Specialty® |
|---|---|---|
| Retail Pharmacy Benefits | Mail Order Pharmacy | Specialty Drug Benefits |
| Acute medications | Maintenance medications | Supports patients with complex health conditions who need injectable medications, medications with strict compliance requirements, or have special storage needs |
| 67,000 participating pharmacies | 67,000 participating pharmacies | Receive your specialty medications at a participating retail pharmacy or they can be delivered to your home, physician's office, or other designated location |
| 1.888.741.5019 | 1.855.873.8739 | 1.877.391.1103 |