Find answers to frequently asked questions
Ordering
Call us at (800) 456-2112. We will gather the required information and complete the transfer on your behalf.
In most cases, your pharmacy of choice will need to contact Pharmacy Advantage to request a prescription transfer. Please allow at least 24 hours before contacting your new pharmacy to coordinate your medication refill and delivery. It is important to make sure you have a sufficient medication supply before requesting the transfer to avoid an interruption in therapy.
Your doctor can send your prescription directly to Pharmacy Advantage electronically or by fax. If you would like to transfer your prescription from a different pharmacy to Pharmacy Advantage call 1 (800) 456-2112 and a Pharmacy team member will coordinate the transfer.
A. Here are three (3) easy ways:
- Call (800) 456-2112 for our automated refill line or select to speak to a representative.
- Creating an account and managing your prescriptions online through our website.
- Downloading the Pharmacy Advantage Rx mobile app to your smart phone or tablet via the Apple App Store or Google Play Store.
B. Please call Pharmacy Advantage at least five business days prior to needing your next refill.
- When speaking to a representative they may ask the following questions:
- How are you tolerating the medication or therapy?
- Have there been any changes to your medication?
- Do you still take the same dose or strength?
- Where would you like us to send your next refill?
C. If there are no refills remaining on your prescription, the pharmacy will call or fax your doctor’s office.
D. Stay ahead of possible delays in your therapy by requesting refills as soon as they are available. Typically, this is after three-quarters of a medication is used, or after 68 days of a 90-day supply or 22 days of a 30-day supply.
A. A pharmacy representative will contact your prescriber if the prescription you requested is out of refills. For certain medications, your provider may need to speak with you and/or you may need to be seen by your provider for additional refills. Based on the medication, your pharmacist may be able to fill an emergency dose for you until your prescribing physician sends in a new prescription. Stay ahead of possible delays in your therapy by requesting refills as soon as they are available. Typically, this is after three-quarters of a medication is used, or after 68 days of a 90-day supply or 22 days of a 30-day supply.
Pharmacy Advantage is a Free Home Delivery pharmacy only. We have over 30 retail pharmacy locations surrounding Southeast Michigan if picking up your medication is your preference. If you are currently receiving Free Home Delivery from Pharmacy Advantage and would rather pick up your prescription from one of our convenient locations, please call 1 (800) 456-2112. Henry Ford Retail Locations.
- Patients in South East Michigan please click HERE for Drug Take Back Locations sites
- Other locations in Michigan please click HERE for a list of Drug Take Back Locations by city.
- You may also contact the Department of Licensing and Regulatory Affairs (LARA) at 517-241-0205 or BPLHelp@michigan.gov
- Patients outside of Michigan please click HERE to go to the FDA’s Website for disposal of unused medications
- For Oral Chemotherapy patients, you normally will not have pills left over, however if you do, DO NOT flush them down the toilet or sink. Chemotherapy drugs are typically not accepted at independently hosted take back locations. Please do the following:
- Take them to your next appointment with your Hematologist/Oncologist
- Call your local health department for locations in your area to dispose of oral chemotherapy
Pharmacy Advantage will accept payments made by credit card (Visa, MasterCard, Discover, & American Express), debit card, mailed in checks or money order, and selected FSA or HSA accounts. If you wish to pay by check or money order, please mail your check or money order to; Payment Processing Center, 30100 Telegraph Road, Suite 200, Bingham Farms, MI 48025. If you have any questions regarding billing or making a payment, call (800) 456-2112 to speak to a representative.
- Patients in South East Michigan please click HERE for Drug Take Back Locations sites
- Other locations in Michigan please click HERE for a list of Drug Take Back Locations by city.
- You may also contact the Department of Licensing and Regulatory Affairs (LARA) at 517-241-0205 or BPLHelp@michigan.gov
- Patients outside of Michigan please click HERE to go to the FDA’s Website for disposal of unused medications
- For Oral Chemotherapy patients, you normally will not have pills left over, however if you do, DO NOT flush them down the toilet or sink. Chemotherapy drugs are typically not accepted at independently hosted take back locations. Please do the following:
- Take them to your next appointment with your Hematologist/Oncologist
- Call your local health department for locations in your area to dispose of oral chemotherapy
Yes, safe and secure payments can be made through our Pharmacy Advantage Website or pay Anytime, Anywhere, from the Pharmacy Advantage Mobile App. Scan the QR code, download the easy-to-use Pharmacy Advantage mobile app and use the pay online option.
Easy instructions to download our pharmacy contact on your phone:
- Open Camera app on smartphone
- Position camera over square code, touch OPEN
- A blue screen will appear
- Touch App Store for iPhones or Google Play for Androids
- Touch Get or the cloud shape, then touch Open or Install
If you have questions regarding your billing statement, please call 1 (800) 456-2112 option 2 then option 5 between the hours of 8am – 5pm, Monday – Friday to speak to a representative.
Easy instructions to download our pharmacy contact on your phone:
- Open Camera app on smartphone
- Position camera over square code, touch OPEN
- A blue screen will appear
- Touch App Store for iPhones or Google Play for Androids
- Touch Get or the cloud shape, then touch Open or Install
Your benefit plan may require certain out-of-pocket costs (copays or deductibles) for your prescriptions. Pharmacy Advantage thoroughly investigates your insurance benefits for the lowest out-of-pocket costs.
Our experienced pharmacy team will research all available options for financial assistance related to your condition. We collaborate with manufacturers and foundations to help obtain the lowest available out of pocket cost for our patients. Based on your financial needs, the pharmacy may be able to set up a payment plan agreement for you.
Our Normal Business Hours – Eastern Time Zone (EST)
Monday-Friday: 8am to 6pm
Closed Saturday & Sunday
We offer 24 hour / 7 days a week pharmacist support for members with urgent needs
Phone: 1 (800) 456-2112
(Relay users call 711)
Pharmacy Advantage will transfer your prescription to any pharmacy your insurance allows as long as it is within state laws and federal regulations.
Delivery
Pharmacy Advantage is a Michigan-based specialty and mail order pharmacy, serving patients across the United States. (Except for Arkansas, California, & Idaho.)
Your medication(s) will be delivered directly to you through USPS, FedEx, or a private courier. Please allow 3-5 business days for your medication to ship. Stay ahead of possible delays in your therapy by requesting refills as soon as they are available. Typically, this is after three-quarters of a medication is used, or after 68 days of a 90-day supply or 22 days of a 30-day supply.
Pharmacy Advantage provides Free Home Delivery for all of your medications. Your only cost is your prescription co-pay.
Pharmacy Advantage will check for an active prescription. If we do not have an active prescription on file, we will reach out to your prescriber for a refill. A pharmacist will determine when you will need your prescription to avoid an interruption in your therapy. Based on when you will need your prescription, and the type of medication you are requesting, your medication will be shipped to you next day or in some cases same day. It also may be possible for you to pick up your prescription at a convenient Henry Ford Retail Pharmacy Location or a pharmacy of patient’s choice.
Please contact Pharmacy Advantage to provide your e-mail and/or mobile phone number to receive tracking information on your delivery.
For questions regarding the delivery status of your medication(s), please call (800) 456-2112 and we will assist you. You can also manage your prescriptions and see the status through your account on our website or the Pharmacy Advantage Rx mobile app.
The coolers we use to ship medications, our paper products, and plastic prescription bottles are all recyclable. Our cooler boxes are cardboard and the insulation in the coolers are made from recycled plastic bottles. We have greatly reduced our paper waste by increasing our use of electronic forms of communication such as electronic prescription prescribing. We provide information on prescription “take back” locations to our patients for unused prescription drugs to encourage proper safe disposal.
Medication Information and Safety
To find options for disposal of unwanted prescription drugs including oral chemotherapy pills, please see below.
- Patients in South East Michigan please click HERE for Drug Take Back Locations sites
- Other locations in Michigan please click HERE for a list of Drug Take Back Locations by city.
- You may also contact the Department of Licensing and Regulatory Affairs (LARA) at 517-241-0205 or BPLHelp@michigan.gov
- Patients outside of Michigan please click HERE to go to the FDA’s Website for disposal of unused medications
- For Oral Chemotherapy patients, you normally will not have pills left over, however if you do, DO NOT flush them down the toilet or sink. Chemotherapy drugs are typically not accepted at independently hosted take back locations. Please do the following:
- Take them to your next appointment with your Hematologist/Oncologist
- Call your local health department for locations in your area to dispose of oral chemotherapy
Proper drug disposal is important because it helps protect human health and our environment. Unwanted medication should not be flushed down the drain. Medications should be kept secure when in the home to prevent children, family, or friends from accidently taking or misusing your medication. When drugs are no longer needed, they should be taken to a collection site for incineration to destroy the chemicals within them and prevent them from entering the water resources we use for drinking water.
Please contact Pharmacy Advantage by calling 1 (800) 456-2112 to investigate the status of your package. A pharmacy representative can provide you with the status of your medication and provide available options to receive tracking information for future orders.
- Patients in South East Michigan please click HERE for Drug Take Back Locations sites
- Other locations in Michigan please click HERE for a list of Drug Take Back Locations by city.
- You may also contact the Department of Licensing and Regulatory Affairs (LARA) at 517-241-0205 or BPLHelp@michigan.gov
- Patients outside of Michigan please click HERE to go to the FDA’s Website for disposal of unused medications
- For Oral Chemotherapy patients, you normally will not have pills left over, however if you do, DO NOT flush them down the toilet or sink. Chemotherapy drugs are typically not accepted at independently hosted take back locations. Please do the following:
- Take them to your next appointment with your Hematologist/Oncologist
- Call your local health department for locations in your area to dispose of oral chemotherapy
Call Pharmacy Advantage at (800) 456-2112 to speak with a pharmacist.
Call Pharmacy Advantage at (800) 456-2112 to speak with a pharmacist.
If you experience a side effect or an adverse reaction from your medication, contact Pharmacy Advantage at (800) 456-2112 or your doctor immediately.
Call 911 immediately if someone is experiencing a medical emergency or any of the following:
- Severe difficulty breathing, especially if there is no improvement with rest
- Chest pain
- A fast heartbeat (more than 120-150) at rest, especially with shortness of breath or feeling faint
- Difficulty speaking, numbness, or weakness of any part of the body
- Sudden dizziness, weakness or mental changes (confusion, very odd behavior, difficulty walking/standing)
- Sudden loss of vision
- Heavy bleeding from the mouth, nose, ear, vagina, or rectum that continues
- Bleeding from any wound that will not stop with direct pressure
- Extremely hot or cold body temperature and the person appears ill or less responsive
- Choking
- Poisoning
- Drug overdose
- New severe headache
- Sudden intense severe pain
- Someone makes a credible threat to hurt or kill themselves or someone else
- Allergic reaction, especially if there is any difficulty breathing
- Seizures
Accessibility and Communication
Most prescriptions can be filled through Pharmacy Advantage, however, in some cases your health insurance plan may require you to use a preferred pharmacy. If your insurance mandates your prescription to another pharmacy, a Pharmacy Advantage representative will transfer your prescription to the appropriate pharmacy and contact you with the transfer details.
The coolers we use to ship medications, our paper products, and plastic prescription bottles are all recyclable. Our cooler boxes are cardboard and the insulation in the coolers are made from recycled plastic bottles. We have greatly reduced our paper waste by increasing our use of electronic forms of communication such as electronic prescription prescribing. We provide information on prescription “take back” locations to our patients for unused prescription drugs to encourage proper safe disposal.
We are happy to provide the following benefits to you:
- Personalized service including free home delivery for all your medication(s)
- Work with your insurance to help get medications approved
- Research sources to lower your out-of-pocket costs
- Access to the latest therapies
- Medication management counseling
- Free bilingual interpreter support and (Relay users call 711) for deaf or “hard of hearing” patients
- Partner with your health care providers for improved therapy results
- Urgent on-call access to pharmacists – 24 hours a day, 7 days a week
- Convenient refill reminders
- User friendly mobile app and website
The easiest way for you to share your opinion or concerns with us:
- Calling (800) 456-2112 to speak directly with a customer service representative.
- Click Here to visit our Contact Us Page to send us a message
- By writing to:
Pharmacy Advantage
Attn: Customer Service Department
1191 South Blvd. E,
Rochester Hills, MI 48307
If you have a question about your medication, please contact the pharmacy at (800) 456-2112, 8:00am-5:00pm Monday through Friday (after hours a pharmacist is on-call) and we will assist you. If you experience a medical emergency call 911 immediately.
Bi-lingual translation services are available to Pharmacy Advantage patients, family members, and/or caregivers. Patients simply need to call the Pharmacy Advantage customer support line: (800) 456-2112.
Yes, if you already have a device from Michigan Relay, just dial 711 and give the operator our name: Pharmacy Advantage and our 800 number: 1-800-456-2112. If you do not have a device and need one, Hamilton Relay is the contracted relay service provider for Michigan Relay. For more information on available services visit: https://hamiltonrelay.com/michigan/services.html. Questions and concerns about Michigan Relay can be directed to your local telephone provider or the Hamilton Relay Customer Care Center at miraly@hamiltonrelay.com Voice/TTY: 844-578-6563.
Add Pharmacy Advantage and our website to your smart phone with a few easy clicks: When our pharmacy team calls you for delivery, refill questions or clinical support, Pharmacy Advantage will appear on your caller ID. You will know that it’s your pharmacy calling before you answer the call.
Instructions: Open the camera app on your phone, center the code in your camera,
Click the little blue circle, then touch the words, Save to My Phone.
Yes, manage your prescriptions anytime, anywhere using the Pharmacy Advantage mobile phone.
- Set Refill reminders & refill prescriptions with ease
- Set reminders to take your medication on time
- Manage prescriptions for the entire family
- View all prescriptions and dosages in one place
- Organize & view all your doctor information and the medication prescribed by each doctor.
- Pay your bill through your mobile app
With your smart phone camera scan the QR code to download our mobile app
Medicare
Pharmacy Advantage has a dedicated team trained to assess each individual situation based on drug, insurance, and benefit plan.
Medicare Part B (Medical Insurance) covers a limited number of outpatient prescription drugs under limited conditions. Usually, Part B covers drugs you wouldn’t usually give to yourself, like those you get at a doctor’s office or hospital outpatient setting.
Medicare Part D is a prescription drug coverage pharmacy benefit. Medicare Part D plans (PDP) help pay for medications prescribed by a doctor drugs that are self-administered and include orals, self-injectable, or a route of administration a patient can manage at home.
Part D plans are offered by private insurance companies approved by Medicare. The types of drugs covered is decided by the U.S. government. Beyond that list, every Medicare Part D plan covers a different set of drugs. When choosing a Part D plan, you need to make sure it covers the drugs you take.
All Medicare Part D plans have a drug list — also called a formulary — that gives you the information you need about which drugs are covered. The formulary can change, but your plan will let you know ahead of time if it does. The formulary will also tell you if your drug has any special rules or limits. Your plan will send you your formulary and/or give you a way to get all your drug list information online.
Most Medicare Part C plans already include Part D prescription drug coverage, combined into a single plan with hospital and medical. Another option is to have a separate Part D plan in addition to Original Medicare, a Medicare Supplement Insurance plan, or a Private Fee-For-Service plan without drug coverage.
For more information visit: medicare.gov
Deductible phase: The annual amount you pay before your plan starts paying. Your deductible is based on the plan type selected.
Initial coverage phase (ICP) This phase starts after you have met your deductible and continues until you and your plan have spent a total of $4660 in 2023. Your co-pay is based on the formulary tier.
Coverage Gap (donut hole) What you pay in the coverage gap for drugs on your plan’s formulary. The most you pay for each prescription while in the coverage gap is 25%.
Items that count towards the coverage gap:
- Your yearly deductible, coinsurance, and copayments
- The discount you get on brand-name drugs in the coverage gap
- What you pay in the coverage gap
Items that don’t count towards the coverage gap
- The drug plan premium
- Pharmacy dispensing fee
- What you pay for drugs that are NOT covered
Catastrophic coverage phase The catastrophic phase starts when you exit the coverage gap
and lasts until the end of the calendar year.
