Pharmacy navigation helps employees understand their benefits and find the appropriate next step.
Find participating pharmacy resources.
Understand authorization requirements and next steps.
Start with the Shield Care Team.
Available benefits and services vary by plan, location, eligibility, and employer selection.
Understand participating pharmacies, plan resources, and where to ask about coverage.
Help identifying participating pharmacy resources.
Explore available pricing tools and lower-cost or generic options with your prescriber and pharmacist. No specific savings are promised.
Help understand required information and the responsible plan or clinical resource when supported. Approval is not guaranteed.
Navigate available resources where supported. Eligibility, prescribing, coverage, and availability remain plan- and clinician-dependent.
Help clarify the issue, route questions, and follow up where appropriate.
Shield Rx 360 focuses on practical prescription navigation: where to fill, what to check before pickup, how to handle prior authorization requests, and when to ask for support. Coverage, pricing, specialty access, and medication availability vary by plan, pharmacy participation, and clinical review.
A member is prescribed a new medication but sees conflicting cost estimates and a prior authorization delay. Clear support steps can reduce confusion and help them respond quickly with the right documents.
Start with the prescription: confirm pharmacy participation and whether plan requirements apply.
Prepare documentation: gather required information quickly if prior authorization is requested.
Use support early: contact support when cost, access, or specialty eligibility is unclear.
No. Coverage depends on plan terms, medication category, and clinical requirements.
Some medications require additional clinical review. Missing documentation can delay decisions.
No. GLP-1 coverage, eligibility, pricing, and availability vary by plan terms and clinical review.
Members can use support channels for benefit-navigation questions; do not submit private medical details through public contact forms.
If you need support, use secure support channels. For privacy, do not submit sensitive personal medical details through public forms.