The Montana University System Prescription Drug Plan (PDP) is administered by Navitus Health Solutions.

 

NOTE: Western Drug (Bozeman only), CVS, & Target pharmacies are not part of the Montana University System Pharmacy Plan participating network.  If you choose to use these pharmacies, you will be responsible for all charges.  This is not applicable to MedicareRx enrollees.

All MUS Choices Medical Plan enrollees will automatically be enrolled in the Navitus Health Solutions Prescription Drug Plan.  Employees and non-Medicare retirees will be enrolled in Navitus Commercial Plan and Medicare Retirees will be enrolled in Navitus MedicareRx (Part D) Plan. There is no separate premium and no deductible for prescription drugs.

To access more information about the Navitus Commercial Plan or MedicareRx (Part D) Plan, including MUS-specific participating network pharmacy and complete prescription drug formulary, you will need to register on the Navitus Navi-Gate for Members web portal to access, see below:

 

If you are an Employee or a non-Medicare Retiree: 

Navitus Commercial Plan Customer Care
Hours: 24 hours per day, 7 days per week
866-333-2757

 

If you are a Medicare Retiree: 

Navitus MedicareRx (Part D) Plan Customer Care
Hours: 24 hours per day, 7 days per week
866-270-3877

 

Specialty Pharmacy:  for members who are taking prescription drugs that require special handling and/or administration to treat certain chronic illnesses or complex conditions.

Lumicera Health Services Customer Care
Hours:  Monday - Friday, 7:00AM-5:00PM MST
855-847-3553

 

Drug Formulary

The drug formulary (preferred drug) list indicates which medications are covered and which tier the medication applies to.  The tiers on the formular are structured as follows:

  • Tier 0:  certain preventive medications (ACA, certain statins, Metformin, and Omeprazole)
  • Tier 1:  low cost, high value generics and select brands that provide high clinical value.
  • Tier 2:  preferred brands and select generics that are less cost effective.
  • Tier 3:  non-preferred brands and generics that provide the least value because of high cost or low clinical value, or both.
  • Tier 4:  specialty medications for certain chronic illnesses or complex conditions.

 

Mail Order Pharmacy

Prescription drugs may be obtained through the Plan at either a local retail pharmacy (up to a 34 or 90 day supply) or through a mail order pharmacy (90 day supply).  Members who use certain maintenance or long term medications can experience a significant cost savings when filling their prescriptions for a 90 day supply.