APRIL 1, 2020: THE U.S. FOOD AND DRUG ADMINISTRATION (FDA) ORDERS ALL PRESCRIPTIONS AND OVER-THE-COUNTER (OTC) RANTIDINE PRODUCTS BE WITHDRAWN FROM THE MARKET: The FDA has requested that manufacturers withdraw (remove) all prescription and OTC ranitidine products from the market (brand name is Zantac®). Patients taking prescription products should contact their prescriber for an alternative prescription. Patients using OTC versions will need to switch to a different product if continued treatment is needed (speak with your pharmacist about available options).
For additional information visit the FDA HERE.
In the Spotlight
Starting in January 2020, FirstHealth will be offering a Copay Assistance program through FirstCarolinaCare (FCC). This program is called the IPC Copay Assistance Program and is administered by PillarRx. FirstHealth employees enrolled in the FirstHealth Point of Service (POS) or Preferred Provider Organization (PPO) plans through FCC are eligible for this cost savings program. If you are already taking or start a medication eligible for this program, a representative from PillarRx will contact you to assist with enrollment.
For additional information see the Program Summary and Frequently Asked Questions (FAQ). All questions related to this new program should be directed to the IPC Copay Assistance Team at (636) 614-3126.
90 Day Supply Options
Choice90 - external link, click on Choice90 graphic
MedImpact Direct Mail Order - external link
Pharmacy Benefit Manager Portal
MedImpact administers the prescription drug benefits for members.
For questions regarding your prescription drug benefits, please conact MedImpact toll-free at
Prescription Reimbursement Forms
For members to request reimbursement when they have paid for a prescription (where it wasn’t put through their insurance):
Pharmacy Reimbursement Claim Form
Medication Request Forms
Our pharmacy benefit manager, MedImpact Healthcare Systems, handles our prior authorizations. To request prior authorization, pre-approval of a medication with coverage rules or coverage of a Non-Formulary medication, your physician or prescribing practitioner can use the Standard Medication Request Form . Forms can be faxed to MedImpact at: 858-790-7100.
Standard Medication Request Form
Prior Authorizations or Step Therapy Requirements
|Information about Generic Drugs from the Food and Drug Administration|
*The above consumer links are posted as a resource for our members in making wise prescription drug choices. The web sites are not affiliated with FirstCarolinaCare Insurance Company.
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