CommunityCare Pharmacy Benefit

Information about Ascension St. John Tulsa's prescription drug plan included with your medical coverage is available through the CommunityCare website.

The CommunityCare website has more information about your medical plan as well as about the online CommunityCare Member Connection secure website, which contains information about your current benefits.

Visit the CommunityCare website to learn more .

Use the contact information phone number, below for eligibility information.

SmartHealth Pharmacy Benefit

Ascension’s prescription drug plan is automatically included with your SmartHealth medical coverage. In 2021, Cigna will continue to be your pharmacy provider.

Important pharmacy benefit and ID card information

A new ID card will be sent to you for Cigna's drug plan in 2021. Your new pharmacy ID card will arrive after the New Year.

If you need prescriptions filled after Dec. 31, 2020 and you have not received a new pharmacy ID card, register with and use the ABS member portal. You can use the member app as well.

An electronic copy of the new pharmacy ID card will be in the member portal and app for you to use.

Your new drug plan ID card is different from your medical card and your pharmacy ID card must be used when filling prescriptions. You cannot use your medical ID card to fill a prescription.

• Click here to use and register with the member portal.

• Click here to download, use and register with the ABS iPhone app from the Apple App Store.

• Click here to download, use and register with the ABS Android app the Google Play store. 

You can only access and download the app on a mobile device, not a desktop computer.

If you are already registered on the ABS online portal, you’re ready to use the app. You do not need to reregister. Simply log in to the app with your current member portal username and password.

If you aren’t registered on the ABS online portal, you must register to access both the app and the online portal. 

To register on the app:

• Tap Create account on the login page
• Check the Accept box and tap Next
• Fill in all fields on the registration page, and tap Next
• You are now ready to use both the online portal and the mobile app.

If you need assistance accessing the portal please email abssupport@ABS-TPA.com or call 586-693-4393.

Important pharmacy benefit documents and more

• FAQs
• Formulary, effective July 1, 2021
• Glossary of terms
• No cost share preventive drug list list (PPACA), effective July 1, 2021
• Preventive drug list (legacy), effective July 1, 2021
• Ascension Rx list (formerly known as In-house pharmacies) 
• Manual claim form
• Continuous glucose monitors

Mail order

Pharmacy out-of-pocket costs

Rx Costs with the HDHP 3000/0

If you choose the high deductible health plan—the HDHP 3000/0—you pay the full cost of prescriptions until you meet your deductible ($3,000 individual/$6,000 family). Once you reach your deductible, your prescriptions are covered 100% for the remainder of the year.

• If you are an associate at Our Lady of Peace, please click here to view your pharmacy out-of-pocket costs

• If you are a member in a Socially Just Benefits plan, please click here to view your pharmacy out-of-pocket costs

Precertification and step therapy

• Step Therapy
   
• Pharmacy Prior authorization forms
• Physicians only, to request pharmacy prior authorizations:
• Cigna phone: 1-855-281-8312
• Cigna fax: 1-800-390-9745

• Medical specialty precertification forms
• Medical Specialty Precertification Form
• Medical Specialty Precertification Oncology or Complex Regimen Form
• Physicians only, to request medical specialty precertification:
• Ascension Rx Precertification phone: 1-833-594-1845
• Ascension Rx Precertification fax: 1-833-594-1875

Specialty pharmacy
Specialty medications typically are high cost and used to treat chronic complex medical conditions. They also may be drugs that are difficult to administer or have special handling, shipping and storage requirements. They are often self-injected to treat conditions such as rheumatoid arthritis, multiple sclerosis, psoriasis, cystic fibrosis, cancer, or hemophilia. 

For specialty pharmacy, please have your doctor or provider fill your prescription through Ascension Rx, if available in your state. Currently, Ascension Rx specialty pharmacy is available in the following states:

*Please have your doctor or provider contact your local Ascension Rx pharmacy.

Ascension Rx speciality pharmacy operating hours are Monday-Friday, 9 a.m. - 5 p.m. ET; however, there is a pharmacist on call 24/7. For more information, please call Ascension Rx specialty pharmacy at 855-292-1427.

If you have a patient covered by SmartHealth who needs physician administered specialty medications or infusion therapy:

• Providers may continue to buy and bill.
• Contact your local Ascension Rx pharmacy to notify them of your patient’s diagnosis and the medication required. A list of Ascension Rx pharmacies and contact information can be found here.
• The pharmacy will prepare the specific dosage and deliver it to your office to be administered.
• Precertification Notification: For medical specialty drugs, SmartHealth/Ascension Rx, will be managing precertification notifications. Providers are requested to complete the Precertification Form and fax it back to 833-594-1875 OR call 1-833-594-1845 to submit a precertification. For oncology or complex regimen precertification, please use the Medical Specialty Precertification Oncology or Complex Regimen Form.
• If the health ministry does not have a pharmacy, contact Ascension Rx specialty pharmacy at 1-855-292-1427.