Drugs

• Can I see results with both pharmacy costs and mail order cost? I found Tier 1&2 drugs cost less through mail order and Tier 3, 4 & 5 drugs are cheaper through the local pharmacies.

  There is a button to pivot between Mail Order and Retail for Rx Costs.

• Does the system take into consideration the pharmacy?

  Yes, you can choose the pharmacy and it affects pricing.

• Does the system tell you if the pharmacy is a preferred pharmacy?

  Yes, and pricing changes as a result.

• What if the drug pricing data in MSAP differs from Medicare.gov?

  Because MSAP gets pricing data direct from the Garity Sponsored carriers, we have found that most significant differences result from an error on Medicare.gov. However, during the first few weeks of AEP there have been a few situations where the tier pricing or step-therapy data provided to MSAP needs to be updated.  Please use the support request form below to send us specific examples. We will research and correct, if necessary.

• Does the drug lookup use Medicare.gov?

  No, Garity sponsored carriers supply detailed formulary pricing direct to the platform.

• Can I send a form or email to a client that lets them fill in their own drugs?

  YES!  By sending your client a link to your PURL, they can enter and save their own drugs, then share the link to their saved profile with you and you can complete the comparison for them.

  See the attached link to Sunfire FAQ’s: CUSTOMER DRUG LIST SELF-UPDATE: https://www.sunfirematrix.com/documentation/faq/