Benefits of MoRx

MoRx pays for 50% of members' out of pocket costs remaining after their Medicare Prescription Drug Plan pays. It pays for 50% of the deductible, 50% of the co-pays before the coverage gap, 50% of the coverage gap, and 50% of co-pays in the catastrophic coverage. MoRx does not pay for the Medicare Part D Plan's monthly premium.
MoRx uses the formulary of the Medicare Prescription Drug Plans. Any drug covered by a member's Medicare Drug Plan will also be covered by the MoRx plan.
MoRx works with all Medicare Prescription Drug Plans.
Dual eligible members will continue to have coverage for Medicare-excluded drugs through MO HealthNet. Medicare-excluded drugs include specific over-the-counter drugs, vitamins, minerals, limited cough and cold drugs, benzodiazepines and barbiturates as they are currently covered by MO HealthNet, as noted on the MO HealthNet Division Pharmacy pages.
Extra help with paying for Medicare Part D costs is available from the Social Security Administration (SSA) for individuals with low income and limited assets. All dual eligibles automatically qualify for the extra help in paying for their premiums and co-pays. Other individuals may submit an application for extra help to the SSA.