NOTICE OF NEW PRESCRIPTION BENEFIT MANAGER EMPIRX HEALTH
The Trustees of Teamsters Local 641 Welfare Fund are proud to announce that as of June 1, 2023, the Plan will be utilizing a new prescription benefits manager
EmpiRx Health
All Benefits will remain the same.
EmpiRx Health provides a personalized touch at every level, with Member Services and pharmacists available 24/7/365 to assist with all your prescription needs.
Please check your mail carefully in the month of May for your EmpiRx Health Welcome Packet, it
contains a plan brochure and mail order materials, and you will also receive new cards separately.
ID Cards
Present your new ID card to your participating pharmacy on or after June 1, 2023.You can present a physical copy of your card, or you can access a digital version using the EmpiRx Health App on your mobile device or online at myempirxhealth.com. To fill a prescription prior to receiving your new card, please provide the pharmacy with your first/last name, date of birth, ID number found on your medical card, and EmpiRx Health's processing information:
RxBIN 017688, RxPCN 9743, RxGRP 19117
Mail Order Pharmacy
EmpiRx mail-order pharmacy is Benecard Central Fill. They fill or coordinate most maintenance, high cost, and specialty medications that require special handling and administration. Where applicable, alternative funding for select high-cost specialty drugs may be obtained, and your out-of-pocket costs could be reduced.
For Your Health & Safety
Some prescriptions may require clinical review before being filled. This process is a safety measure that protects you from potential side effects and harmful interactions with other medications, and ensures you receive the most appropriate therapy for your health condition. If a clinical review is needed for your medication, EmpiRx Health works directly with your doctor to get the information needed before filling the prescription.
If you have any questions or require additional information, please contact
EmpiRx Member Services toll-free at
1-877-241-7123/ TDD 1-888-907-0020.
They will always be available to assist you with live Member Services Representatives and Pharmacists 24 hours a day, seven days a week dedicated just for Teamsters Local 641 Welfare Fund
The Trustees are committed to always looking to enhance our members’ benefits and they feel that EmpiRx Health will deliver a more personalized approach to our members’ needs for pharmacy benefits.
If you have any questions, please feel free to contact the Fund office at 908-687-4488.
NEW SPECIALTY DRUG COST AVOIDANCE PROGRAM – PAYER MATRIX
As of June 1, 2023, the Trustees of Teamsters Local 641 Welfare Fund were pleased to introduce a new potential cost savings specialty drug related program for participants, with advocacy services coordinated through Payer Matrix. Payer Matrix works in conjunction with EmpiRx, which is the Plan’s new prescription benefits manager.
Plan members are eligible to participate in the Payer Matrix advocacy program if you are currently taking, or if you begin taking a specialty drug. The advocacy program will help you enroll in any applicable manufacturer funded program for your eligible drug therapy, with the goal of helping you avoid any out-of-pocket expense for specialty medications.
If you are eligible to participate in the Payer Matrix advocacy program, you will receive a call or email to the email address or telephone number on file with the Plan’s office, outlining the enrollment process.
As a first step, Plan members or their providers are required to send specialty medication prescriptions to EmpiRx. While EmpiRx conducts the clinical prior authorization to ensure the medication is medically necessary for you, Payer Matrix conducts an administrative review to locate manufacturer assistance and the specific specialty medication you need. Payer Matrix will assist you throughout the process, from enrollment through your receipt and use of your medication.
If you enroll with Payer Matrix and are not eligible for any manufacturer funded program through Payer Matrix, Specialty Drug advocacy program, you will be provided benefits for your specialty medication through EmpiRx.
Please Note: If you refuse to enroll in the Payer Matrix Program for an eligible special Drug in the manufacturer funded program, you may be responsible for the full cost of your applicable specialty drug
prescription. If your claim is denied, you may file an appeal with the Trustees.
If you have any questions on the above changes to our Plan, please do not hesitate to contact us at the Welfare Fund Office at
(908) 687-4488.
MEET OUR ANALYSTS
ALICE RYAN - CLAIMS ANALYST
your coverage
