Pharmacy

What are my prescription drug benefits?

You get unlimited prescriptions through your Medicaid/CHIP coverage if you go to a pharmacy in Superior’s network. There are some medications that may not be covered through Medicaid/CHIP. A Superior pharmacy can let you know which medications are not covered, or help you find another medication that is covered. You can also ask your doctor or clinic about what medications are covered, and what is best for you.

How do I get my child's medications? Who do I call if I have problems getting my child's medications?

Medicaid/CHIP pays for most medicines your doctor says you need. Your doctor will write a prescription so you can take it to the drug store, or may be able to send the prescription to the drug store for you.
If you have trouble getting your medicines, please call Member Services at the numbers listed on this website for your Medicaid or CHIP Program.

How do I find a network drug store? What do I bring with me to the drug store?

Superior provides prescriptions for all its members through US Script. You can get your prescriptions filled at most drug stores in Texas, including CVS, HEB, Randall’s, Target, Walgreens, Wal-Mart, as well as many other pharmacies. If you need help finding a drug store, call Superior Member Services at the numbers listed on this website for your Medicaid or CHIP Program.
A list of Superior pharmacies is also available online at http://www.superiorhealthplan.com/for-members/find-a-doctor/.

Remember: Always take your Superior ID card and your Medicaid ID card with you to the doctor and to the drug store.

What if I go to a drug store not in the network?

Superior has many contracted drug stores that can fill your medications. It is important that you show your Superior ID card at the drug store. If the drug store tells you they do not take Superior members, you can call Superior’s Member Services Department at the numbers listed on this website for your Medicaid or CHIP Program. We can help you find a drug store that can fill your medications for you.

If you choose to have the drug store fill your medications and they do not take Superior members, you will have to pay for the medication.

What if I need my medications delivered to me?

Superior also offers many medications by mail. Some Superior pharmacies offer home delivery services. Call Member Services to learn more about mail order or to find a pharmacy that may offer home delivery service in your area.

What if I lose my medications?

If you lose your medications, you should call your doctor or clinic for help. If your doctor or clinic is closed, the drug store where you got your medication should be able to help you. You can also call Superior’s Member Services Department at the numbers listed on this website for your Medicaid or CHIP Program, and we can help you get the medications you need.

What if I can't get the medication my child's doctor approved?

If your doctor cannot be reached to approve a prescription, you may be able to get a three-day emergency supply of your medication. Call Superior Member Services at the numbers listed on this website for your Medicaid or CHIP Program for help with your medications and refills.

What if I also have Medicare?

If you have Medicare and Medicaid (you are Dual Eligible), your prescription drug coverage changed on January 1, 2006. Instead of Medicaid paying for your prescriptions, they are now paid by a Medicare Rx plan. Under Medicare Rx, you have choices. Make sure the Medicare Rx plan you are with meets your needs. If you have questions or want to change plans you can call 1-800-633-4227 (1-800-MEDICARE).

Remember under Medicare Rx:

  • You have a choice of prescription drug plans.
  • All plans require you to pay $1 to $5 for each prescription.
  • There’s no limit on the number of prescriptions you can fill each month.

What if I have Ambetter (Health Insurance Marketplace)?

Ambetter Members please click here for information about your prescription drug benefits.