Who We Serve
F.A.Q.
PlaidRx achieves substantial cost savings in its mail order programs by streamlining purchases directly through US-based URAC-accredited hospital pharmacies and international collaborations with Canadian pharmacies. These partnerships leverage significantly lower prevailing prices for all brand-name and specialty medications. Working alongside government-licensed pharmacies, PlaidRx delivers brand-name medications, sealed and packaged by the original manufacturer, to participants with zero copay, courtesy of the reduced costs.
PlaidRx sources all medications within the United States and from Canada, a Tier 1 country identified by the U.S. Congress for their safety standards. PlaidRx pharmacy partners ensure adherence to safety standards by packaging medications from the manufacturer, distributing them through government-regulated wholesalers, prescribing them through licensed practitioners, labeling and dispensing them via licensed local pharmacists, and delivering them directly to the patient. Regular inspections of licensed pharmacies by PlaidRx professionals ensure ongoing compliance.***Canada is recognized by the U.S. government as having equivalent or superior safety and licensing regulations compared to the United States.
PlaidRx domestic pharmacy partners ensure that shipped medications adhere to the rigorous manufacturing standards set by the FDA. Similarly, medications dispensed from Canada comply to stringent manufacturing requirements of Health Canada and are subject to government regulation. While there might be slight differences in appearance or name, functionally, these medications are identical. For instance, a drug may be a capsule in the U.S. but a tablet in another country.
No, the PlaidRx program is voluntary and applies only to select brand-name medications listed on the PlaidRx formulary. Medications not on the formulary, such as generic medications, controlled substances, and antibiotics, should be obtained through your current prescription benefit plan.
No, participation is not mandatory. However, if your medication is available through PlaidRx, substantial copay savings can be realized. You can switch back to purchasing medications locally at any time.
To enroll, submit a completed enrollment form, a new prescription for each medication, and a copy of your photo identification. It's recommended to inquire with a PlaidRx representative first to confirm medication availability and avoid possible delays. Request a three-month prescription with three refills from your prescriber, along with a 30-day prescription for local filling to ensure continuous therapy. Enrollment forms can be faxed, uploaded to the secure site, or mailed. Photo identification can be uploaded, emailed, or mailed, and prescriptions can be sent directly from your prescriber's office.
The enrollment form is necessary for patient safety. It allows PlaidRx to conduct a drug utilization review, reviewing your current medication list and health history for possible interactions during prescriber review.
Once all correspondence is received and registration is confirmed, it takes 24-48 hours to process internally. The order is then sent to the partner pharmacy for dispensing, with delivery expected within 3-7 days, taking into account when the next fill date is due.
PlaidRx maintains a calling schedule for all customers. When refills are due, PlaidRx will attempt to reach you by phone three times. If unsuccessful, a reminder email and text message will be issued for you to contact them.
PlaidRx, by law, cannot accept medications back once they have left the dispensing pharmacy.
All medications are delivered in the original sealed package from the brand-name manufacturer's approved facility. They are dispensed and mailed directly to the patient by a licensed pharmacy in Canada.
No, PlaidRx only provides brand-name medications that offer savings.
Exclusions include generic drugs, which usually cost less, medications requiring refrigeration, narcotics and controlled substances due to safety concerns and regulations, medications needed urgently like antibiotics, and instances where local sourcing is more cost-effective. Medications not available through PlaidRx should be ordered through your prescription provider.
You can ask your prescriber to review the list of available medications for possible alternatives. Switching to an available medication requires a U.S. trial.
When fulfilling a prescription from Canada, a U.S. trial is required when taking a new-to-you medication. This ensures proper counseling from a local pharmacy, awareness of potential side effects, and confirmation from your prescriber that continuing therapy is appropriate before ordering a three-month supply.
Yes, a pharmacist is available to answer questions. Contact information will depend on the country and state from which the medication is being fulfilled from.
The program covers all shipping costs; there are no individual charges. In instances where cold chain storage is required, the patient must return the packaging according to specified instructions.
Please allow 3-4 days for the delivery of your package from a US-based pharmacy and 5-14 days for Canadian shipping.
PlaidRx does not require a signature upon delivery unless it is temperature-sensitive medication, but the U.S. Postal Service may have its requirements.
Yes, PlaidRx complies with personal request guidelines, allowing you to request up to a 90-day supply of prescribed medicines for personal use. Contact CostSavings@PlaidRx.com for more information.
If your doctor is restricted by e-prescribing mandates, advise them that the medication is being filled out of state and a physical prescription is required. Prescriptions can be mailed or faxed from your prescriber's office to (310) 496-0120.
