Prescription Drug and Pharmacy Information

Remember to update your information with your pharmacy by showing your eternalHealth Member ID card, as all the information you need to fill your prescriptions is on your card.

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Prescription Drugs

Our Covered Drugs.

We’ve curated a formulary (a list of covered drugs) with a team of healthcare providers that covers many medical conditions at an affordable cost.

Access our easy to use prescription drug look up tool.

Download our formulary.

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In-Network Pharmacy

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Use Our Pharmacy Locator.

You are able to find the pharmacies within our network with the Pharmacy locator.

Access our easy to use pharmacy look up tool.

Download our in-network pharmacy list.

Over-the-Counter Catalog

View the Convey Benefits Over-the-Counter (OTC) Catalog

Use the catalog to understand how to use your OTC benefit card and view the products that are available to you.

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Medicare Prescription Drug Information (Part D)

Learn more about eternalHealth’s formulary management.

Save time and money by getting prescriptions delivered right to your door.

See what drugs are covered under your eternalHealth plan and the costs associated.

There are options available to you if a prescription drug you are currently taking is not on our formulary or has restrictions.

A prior authorization may be required for certain prescription drugs.

You may be required to try a certain drug to treat your medical condition before another drug is covered for that condition.

If you would like to request a coverage determination for a prescription drug, complete the coverage determination request form.

If you were billed for a covered prescription drug, please complete the attached form and attach the prescription labels so that we can reimburse you for your covered prescriptions.

Medications can play a big part in your health. You may have many drugs to take, and it is important to keep track. Having a Medication Management Therapy program can help, read about it here. If you have unused expired medications, we put together a few things you should know.

You may be able to receive extra help, also known as Low Income Subsidy (LIS), from Medicare for your prescription drugs.

In certain cases, CMS systems do not reflect a beneficiary’s correct low-income subsidy (LIS) status at a particular point in time. As a result, the most up-to-date and accurate subsidy information has not been communicated to eternalHealth. To address these situations, eternalHealth applies the CMS Best Available Evidence (BAE) policy.

 For additional information about the CMS BAE policy click here.

Page Last Updated On: November 10, 2022
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Choose a Formulary

Click here to access the 2022 formulary for the following plans:

  • eternalHealth Forever HMO
  • eternalHealth ForeverMore HMO
  • eternalHealth Freedom PPO

Click here to access the 2023 formulary for the following plans:

  • eternalHealth Forever HMO
  • eternalHealth ForeverMore HMO
  • eternalHealth Freedom PPO

Click here to access the 2023 formulary for the following plan:

  • eternalHealth Give Back PPO
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Tom Cunniffe

Director of Operations 

Tom Cunniffe comes to eternalHealth with over 20 years of healthcare operations’ experience, having held leadership positions in Call Center, Enrollment, Credentialing, UAT and Reimbursement teams. Tom has worked with Medicaid, Commercial and Medicare lines of business and has consistently built teams who are metrics driven with proven successful outcomes. Making sure our business strives for an efficient, best-in-class customer experience is at the center of Tom’s philosophy.

Tom has a bachelor’s degree from Fordham University and a master’s in business administration from University of Massachusetts at Amherst.

Tom Lawless

Chief Financial Officer

Tom Lawless has spent the past 20+ years building, sustaining, and growing new healthcare-related programs that balance fiscal responsibility & prudence with creativity & innovation, focusing on models of care that are novel, person-centered, and improve the social welfare of those who are served. He is very excited to continue doing so in his role as the Chief Financial Officer of eternalHealth.

Tom comes to eternalHealth from a not-for-profit, member-centric, health insurance cooperative. He helped the company continuously strive toward its dual goals of thriving financially, while keeping members at the very epicenter of its mission and service model. While there, Tom also spearheaded the creation of a brand new private, charitable foundation, which will be meaningfully giving back to those in need in the surrounding communities for years to come. Previously, Tom worked in the finance department of a successful hospice that provided high-quality care to persons experiencing their unique and poignant end-of-life journeys, assuring that the appropriate financing was always available. Tom’s career began as a civil servant in the Wisconsin Medicaid program, where he helped to create a program that expanded the institutional entitlement to care into home and community-based settings. Starting with only a blueprint in hand, the program now serves more than 57,000 frail elders and disabled adults and is considered a national model. Growing into a senior leadership role, Tom was a key architect of an innovative financing model, through which the public and private sectors successfully collaborated to better the lives of persons in great need.

Tom holds undergraduate and graduate degrees from the University of Chicago, with additional graduate work in economics completed at the University Wisconsin-Madison.

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