You can learn about your pharmacy benefits by reviewing the Prescription Drug Coverage Guide. Legal plan information is available in the Mayo Clinic Health and Welfare Benefits Plan Document and Summary Plan Description.
If you are an employee of Mayo Clinic, you can find your plan documents and information about your benefits by accessing HR Connect and searching for the word “prescription.”
No need to swing by the pharmacy to pick up your prescription refills. Instead, sign up for Mayo Clinic Pharmacy Mail Service and your prescriptions will be delivered to your mailbox.
Getting started: You can register for service as a new patient using a form on the website. If you prefer to call customer service, the phone number is (800) 445-6326.
Refills: Once you have established service, you can order refills or update your credit card online, using the Mayo Clinic Portal.
New prescriptions: Your healthcare provider can send prescriptions electronically to Mayo Clinic Pharmacy – Mail Order. This is how the pharmacy is identified in the electronic medical record for prescribers. Pharmacy staff can assist with prescription transfers from another pharmacy.
Quantity allowed: Most prescriptions can be filled at Mayo Clinic Pharmacy for up to a 90-day supply. You can order a refill after 75% of your prescription has been used up.
Plan ahead: Delivery can take up to 7-10 days if the pharmacy needs to call your provider for refills.
Payment: Mayo Clinic Pharmacy Mail Service accepts major credit cards including Visa, MasterCard, Discover or American Express.
Careful packaging: Your prescription will arrive in unmarked packaging. Most packages are sent via U.S. Postal Service. When needed, overnight delivery or temperature-controlled packaging are used to maintain medication quality. There are no shipping charges for regular delivery.
Savings programs: Check manufacturer websites for savings on brand name medications like insulin, Ozempic®, NovoLog®, or Baqsimi®. Provide the information you receive from the savings program to the pharmacy before your prescription is filled. Savings programs may significantly reduce the amount that you pay.
Quantity allowed: When filling a prescription outside Mayo Clinic, your quantity will be limited to a 34-day supply. You can order a refill after 75% of your prescription has been used up.
Coinsurance: You will pay 40% or more of the total cost if you fill most brand name diabetes medications and supplies at an Alluma network pharmacy, depending on the plan you select. This is significantly higher than your cost at a Mayo Clinic Pharmacy.
Higher cost at an Alluma network pharmacy: You will pay 40% or more of the total cost to fill most brand name diabetes medications and supplies at an Alluma network pharmacy, depending on the plan you select. This is significantly higher than your cost at a Mayo Clinic Pharmacy. You are allowed up to a 34-day supply at a network pharmacy.
Plan ahead: If you are not able to use the preferred insulins your doctor will need to request prior authorization. Please allow time for your request to be submitted and approved.
Save money: You may fill up to a 90-day supply on most blood sugar meters and testing supplies at a Mayo Clinic Pharmacy, or up to a 34-day supply at an Alluma network pharmacy. Mayo Clinic Pharmacies will provide the lowest coinsurance or copay amount.
Preferred glucometers: Accu-Chek® and Contour® brand glucometers and test strips are covered by the Mayo Medical Plan. The least expensive option will usually be the Accu-Chek Guide Me® glucose meter, when filled at the Mayo Clinic Pharmacy Mail Service.
If you use insulin to manage your diabetes you may qualify for coverage of a continuous glucose monitoring (CGM) device, such as Dexcom® or FreeStyle Libre®.
Prior Authorization: Coverage of CGM requires prior authorization, so plan ahead if you are already on a CGM device. Your provider will need to submit a PA request to Alluma.
Pharmacy benefit coverage: FreeStyle Libre and Dexcom must be filled under the pharmacy benefit. FreeStyle Libre has a lower cost to you. The least expensive option will be to fill your CGM using Mayo Pharmacy Mail Service.
Medical benefit coverage: Medtronic GuardianTM is covered under the medical benefit. Please contact Medica® at the phone number on the back of your member ID card for questions about coverage.
We can help.
If you have any questions, you can call Alluma customer service 24 hours a day, 7 days a week at 877-239-7159. If you need expert advice from a clinical pharmacist, you can contact us here.