Overview

If you enroll in the City’s medical plan, you will automatically receive prescription drug coverage through Liviniti.
You can also visit the ​Prescription Information page for more information on pharmacy programs and free preventive care services.

Create an account at Liviniti.com to access services, including formulary options.

There is a $100 deductible per individual or family each calendar year.

  • TeleSaverRx: A telehealth visit may be used to obtain your prescription and coordinate delivery.
  • International Mail: Prescriptions may be filled through safe, regulated pharmacies in Tier 1 countries such as Canada, the United Kingdom, Australia, and New Zealand.

Prescription
Drug Tier
Retail Pharmacy
(1-Month Supply)
Retail - First Choice Pharmacy
(3-Month Supply)
Mail-Order
(3-Month Supply)
Tier 115% Coinsurance15% Coinsurance15% Coinsurance
Tier 1Maximum copay: $15Maximum copay: $30Maximum copay: $30
Tier 225% Coinsurance25% Coinsurance25% Coinsurance
Tier 2Maximum copay: $45Maximum copay: $90Maximum copay: $90
Tier 340% Coinsurance40% Coinsurance40% Coinsurance
Tier 3Maximum copay: $60Maximum copay: $120Maximum copay: $120
Specialty$100 copayN/AN/A

Prescription Drug Coverage Table

Retail Pharmacy

The retail prescription program uses a network of participating pharmacies. To receive the highest level of benefits, you must use a participating pharmacy. When filling maintenance medications, look for a First Choice pharmacy, where you can receive a three-month supply for the cost of a two-month supply.

Note: Walgreens can only dispense one-month medication supplies.

Mail-Order Pharmacy

The mail-order pharmacy offers a convenient and cost-effective way to fill your maintenance medications.

You can get a three-month supply for the cost of a two-month supply delivered directly to your home.

To order prescriptions through the mail-order program, complete and return a mail-order form with a prescription from your doctor for a three-month supply and your payment.

RxCompass

What is RxCompass?

RxCompass is a prescription savings program offered through Liviniti that helps lower the cost of eligible brand and specialty medications. In some cases, prescriptions may be available at no cost.

Program Benefits

  • Medications come from trusted, highly regulated sources
  • Brand-name drugs are provided in original packaging
  • Member copays are waived when savings pathways apply
  • Free shipping and handling
  • Up to a 90-day supply may be available with a valid prescription

How to Get Started

Enrolled members can securely communicate with RxCompass by text, phone, or email. To learn more or begin:

Care Navigators are available Monday through Friday from 8 a.m. to 7 p.m. CST and Saturday from 10 a.m. to 6 p.m. CST.

How It Works

When you fill a qualifying prescription, there may be a short delay while it is reviewed for RxCompass eligibility. If savings are available, a Care Navigator will contact you to discuss options and guide next steps.

Savings Pathways

Depending on your medication, RxCompass will match you with the most cost-effective option, including:

  • Patient Assistance Programs: Help applying for manufacturer-supported savings
  • Variable Copay (VCP) Support: Referral to network pharmacies with reduced copays
  • TeleSaverRx: Telehealth visits to obtain prescriptions and coordinate delivery
  • International Mail: Prescriptions filled through regulated Tier 1 pharmacies in Canada, the United Kingdom, Australia, and New Zealand

Contact Information

Plan details

  • RX Bin: 015433
  • RX PCN: Social Security Number
  • RX Group: 2021 COP

Liviniti (Retail Pharmacy)
Customer Service (answers as Pharmacy Benefits): 800-710-9341 | Fax: 318-214-4190
Monday–Friday: 6:30 a.m.–8:00 p.m. CST
Saturday: 8:00 a.m.–5:00 p.m. CST
Sunday: 8:00 a.m.–4:00 p.m. CST
24/7/365 on-call emergency service available
Liviniti.com

Postal Prescription Services (Mail-Order Pharmacy)
Customer Service: 800-552-6694
Monday–Friday: 8:00 a.m.–8:00 p.m. CST
Saturday: 11:00 a.m.–4:00 p.m. CST
Sunday: Closed
ppsrx.com