NOT YOUR TYPICAL PBM

A pharmacy benefit alternative unlocking the most appropriate prescription at the most affordable price.

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We save our clients and members real dollars.

FIND OUT HOW

WHO IS MEDONE?

MedOne is a national, full-service pharmacy benefit solution. We cut out traditional middlemen by connecting plan sponsors and their members with high-performing pharmacies.

IN-HOUSE CLAIMS
PROCESSING

TRANSPARENT REBATE
AGGREGATION

DIRECT CONTRACTS WITH 70,000+
RETAIL PHARMACIES

MAIL & SPECIALTY PHARMACY
SERVICES

NET COST FORMULARY
MANAGEMENT

ROI-DRIVEN COST
CONTAINMENT

WHY MEDONE?

MedOne managed Rx spend to a (12%) trend in 2017 and outperformed the market by more than 35%.

A plan with 1,000 members would save more than $350,000 annually switching to MedOne.

Source: 2017 Drug Trend Report, Navitus Health Solutions

HOW DO WE DO IT?

INTEGRITY

We don’t build our revenue into the cost of drugs. We bill clients and members the exact amount we pay the pharmacies.

COLLABORATION

We partner with the benefits team to craft and execute a client-specific Rx plan strategy.

CARE MANAGEMENT

We deploy proprietary care management programs to optimize “what” and “where” members fill.

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HEAR WHAT STELLAR INDUSTRIES THINKS

HOW DO WE HELP

MEMBERS

MedOne serves as your personal pharmacy advocate by helping you understand and access your pharmacy benefit.

FEELING THE BURDEN OF EXPENSIVE MEDICATIONS?

ASK

Always ask your doctor and pharmacist if a generic alternative is available.

ENROLL

Enroll in MedOne Pharmacy Services for convenient and FREE home delivery.

ENROLL NOW

Check your prescription prices before you go to the pharmacy.

MEMBER PORTAL

STILL HAVE QUESTIONS? VIEW OUR FAQs

Mail Order FAQs
Coverage FAQs
  • Why should I sign-up for MedOne's mail order pharmacy?

    MedOne Pharmacy Services is the most convenient and inexpensive way to have your medications sent to a location of your choice for FREE. Mail-order works best for medications you take regularly and that don’t change often. Examples of medications suited for mail-order are those that treat high blood pressure, heart disease, cholesterol, asthma and diabetes.

  • How do I sign up for MedOne's mail order pharmacy?

    Fill out a mail-order form and mail it to MedOne Pharmacy Services at PO Box 1537, Dubuque, IA 52004. You can also fax it to 563-588-0173. One of our pharmacy staff members will contact you before your initial medication shipment.

    You can also ask your doctor to send your prescription to MedOne Pharmacy Services through his or her e-prescribing software or via fax to 563-588-0173. One of our Member Service Representatives will contact you within 24 hours to complete the sign-up process.

  • How do I pay for my co-payment?

    Credit card (including HSA or FSA) is the preferred method. Payments by electronic funds transfer (EFT) is also available. You may also pay by personal check or money order. Co-payments must be paid in full before medications will be shipped. Please call 877-896-0919 for more information.

  • Can I transfer an existing prescription to start receiving it via mail?

    Yes, one of our pharmacists will transfer the prescription from your current pharmacy. Please call 877-896-0919 with the name and phone number of the pharmacy you are currently using and the medication name. We will do the rest!

  • How long does it take to receive my prescription?

    When we receive your completed mail-order form, you will be contacted within three business days to finalize enrollment. Please allow for 10-14 days to receive your initial shipment once enrollment is completed.

  • How will my prescription be sent to me?

    In almost all cases, your prescriptions will be delivered via the US Postal Service. Prescriptions with special storage requirements will be shipped via overnight carrier and all deliveries will be scheduled with the recipient.

  • How do I refill my prescriptions?

    During enrollment, your account can be set up for refills to be automatically sent in advance of your medication being used in full. If you do not want your medication automatically refilled and shipped, you may elect to use our refill request line at 877-896-0919 (press option 2). With this option, your medication will only be shipped upon request. Please allow 10-14 days to receive your medication.

  • What if I am traveling or at my seasonal home?

    We can always ship your order to the address of your choice. Simply call 877-896-0919 and let us know where you would like your prescription shipped.

  • What is a pharmacy benefit management (PBM) company and what does it mean to me?

    A PBM works with your employer or benefits provider to negotiate prescription prices with the pharmacies in your community to save you money. When you enroll in health insurance with your employer, you will receive a card with your personal prescription drug benefit information including Member ID (personal identifier), Group # (employer identifier), Bin # / PCN (PBM identifier). This information may be included on your health insurance card or a separate card specific to your pharmacy benefit. When you pick-up a prescription from your pharmacy, you will be asked to provide this card to determine what you must pay (aka your co-pay or co-insurance) prior to receiving your prescription.

  • Can I check to see what my co-pay or co-insurance will be for a specific prescription prior to going to the pharmacy?

    Yes. Register or login to the Member Portal to check pricing or contact one of our Member Service Representatives at 888-884-6331.

  • My pharmacist said my prescription was rejected and requires prior authorization. Now what?

    Ask your pharmacist if the prior authorization process has been started and if they will follow-up with you once a determination has been made. The prior authorization process will take approximately 3-4 business days. The purpose of the prior authorization is to review the prescription with your physician to ensure it is safe, effective and the most appropriate treatment for you. For more information about your prior authorization, please contact one of our Member Service Representatives at 888-884-6331.

  • What can I do if I can't afford any medications?

    Work with your doctor and pharmacist to make sure you are using the most cost-effective treatment for your condition. Make sure you are using a preferred pharmacy and mail-order, if possible. If you are prescribed a high-cost specialty medication, one of our Member Service Representatives can work with you to search for financial assistance. Contact them at 888-884-6331.

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HOW DO WE HELP

Partners

MedOne partners with key stakeholders to raise the bar in pharmacy benefit management.

Self-Funded
Employers

  • We unlock more competitive pricing on prescriptions for employers of all sizes through our zero-spread pricing where all clients pay the same price.
  • We buck the “Set It and Forget It” mentality in the industry by providing employers with proactive recommendations to improve plan performance.
  • We create an avenue for HR / Benefits professionals to direct questions to our team of pharmacists and technicians to provide guidance to members when they need it most.

Benefit
Consultants

  • We serve as a pharmacy specialist on your high-powered team brought in to focus on a growing problem for your client base.
  • We have a proven track record of achieving measurable PMPM savings for self-funded clients.
  • We help you differentiate from your competition, which results in market share retention and growth.

Channel
Partners

  • We offer a refreshing and effective pharmacy alternative to help your offering gain traction.
  • We have an established recipe to allow for scalable customization to a large number of groups.
  • We build real relationships with our channel partners.

Learn more about how MedOne can partner with you.

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HOW DO WE HELP

Providers

MedOne streamlines the pharmacy experience for providers by offering tools to support the prescribing process.

Pharmacist taking medication off of shelf

Downloadable Provider Resources

STANDARD PA FORM

VIEW FORM

STEP THERAPY GUIDE

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SPECIALTY PRODUCT LIST

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WHO WE ARE

Our Leadership

Wes Hartig Headshot

Wes Hartig CEO/BOARD MEMBER

Janelle Shimon

Janelle Shimon VP of client services

Nathan Harold Headshot

Nathan Harold VP of clinical services

Dick Hartig

Dick Hartig Founder/board member

Dick Hartig

Charlie Hartig Board Member

George Lazenby Headshot

George Lazenby Board Member

Murray Lyle Headshot

Murray Lyle Board Member

Mark Lyle Headshot

Mark Lyle Board Member

Commonly Used Forms and Resources

Don’t see the form you need?

CONTACT US

Call 888.884.6331 for member, provider, or plan questions