A pharmacy that does not participate in the HealthSelect Prescription Drug Program. If you are a HealthSelect participant, you can fill a prescription at a non-participating pharmacy, but you may pay a higher price than you would at a participating retail pharmacy.

 If you use a non-participating pharmacy, you will pay the full amount of the prescription. You must complete and submit a claim form to be reimbursed 60% of the lesser of:

• the amount you pay for the prescription, minus your copay, or
• average wholesale price of the drug, plus a dispensing fee, minus your copay.

Your deductible will be subtracted if not met.

HMO participants do not receive any benefits at a non-participating retail pharmacy.