• Not all employer health plans cover every medication manufactured by the pharmaceutical companies.
• Medication formularies are different for every health plan and every employer. 

• MyRxHelp is an independent service staffed by Nurse Advocates specializing in medication access and supports Employers whose members need help obtaining medications that are not included on their health plan. MyRxHelp uses a wide network of resources and personal service for Employer health plan members. 
• The goal of MyRxHelp is to work together with the member to help them obtain non-covered medications from pharmaceutical company sponsored programs.  
• The MyRxHelp Nurse Advocates are specialists in providing self-insured employers personal support services for members. 
• The MyRxHelp Medication Assistance Advocacy service is not a replacement for a member’s current health care coverage. It is designed to work in tandem with current medication coverages.  Sometimes a medication isn’t covered, and the MyRxHelp Nurse Advocates step in to help.

A MyRxHelp Nurse Advocate will:

• Speak directly with the member regarding their prescribed medication
• Evaluate all possible avenues to access the medication if it is not covered by their Employer health plan. 
• Work directly with the member to access prescription assistance programs, including helping with forms and documentation.
• With the member’s authorization, Nurse Advocates work together with the member’s physician, primary care provider, or prescriber to ensure the applications are accurate and complete and provide follow up.  

• Employers understand healthcare is both costly and complicated. 
• Nurse Advocates specializing in health care and medication access programs speak to the member directly, alleviating any potential human resources burden.
• The MyRxHelp Nurse Advocate provides the information and assistance required to ensure that employees receive the medications they need in a timely manner if their health plan does not cover a medication. 
• It reduces the financial burden to the member and plan. 

• Qualified Employees who access medications through pharmaceutical manufacturer programs reduce the overall cost to the self-insured employer’s health plan.  Additionally, employees will not experience any out of pocket co-pay expense for these medications.   
• It’s widely known that self-insured employers will always save money when their members become more educated consumers of their healthcare benefits, especially when it comes to medications.  
• When supported by MyRxHelp Nurse Advocates, members have lower overall costs, continuity of care, improved overall health and are faster to return to work.  
• MyRxHelp is the only collective organization of experts who offer self-insured employers an extensive working knowledge of prescription medication assistance services, an understanding of regulatory and participation guidelines, and can make recommendations and guide employers, human resources managers and employees without burden.

• Absolutely YES!  MyRxHelp maintains and protects all information we receive in accordance with State and Federal privacy standards. 
• The MyRxHelp service eliminates much of the self-insured employer’s liability under HIPAA, because our Nurse Advocates are assisting the employees instead of the Human Resource Department.  Members communicate directly with MyRxHelp for assistance with obtaining medication. 

MyRxHelp Medication Assistance Advocacy service covers the member and his or her immediate family who are covered under the plan including the spouse and any dependents.