Frequently Asked Questions

MyRxHelp provides Medication Assistance Advocacy services to participating employers for their employees and covered dependents.  
Experienced Nurse Advocates work directly with employees whose prescribed medications may not be covered under their employer-sponsored health plan.

Frequently Asked Questions

MyRxHelp provides Medication Assistance Advocacy services to participating employers for their employees and covered dependents.  
Experienced Nurse Advocates work directly with employees whose prescribed medications may not be covered under their employer-sponsored health plan.

General FAQ:

•  "Brand” name medications are the highest cost impact to an employer’s health plan. They could bankrupt an employer-sponsored plan.

•  Not all employer health plans cover every medication manufactured by the pharmaceutical companies.

•  Medication formularies are different for every health plan and every employer.

General FAQ:

• "Brand” name medications are the highest cost impact to an employer’s health plan. They could bankrupt an employer-sponsored plan.

• Not all employer health plans cover every medication manufactured by the pharmaceutical companies.

• Medication formularies are different for every health plan and every employer.

MyRxHelp Medication Assistance Advocacy Services:

•  MyRxHelp is a service staffed by Nurse Advocates specializing in medication access and is designed to support participating Employers whose members are prescribed medications that are not included as part of their health plan’s approved formulary. They assist the member in accessing the medication through a network of resources that are widely available. 

•  The primary focus of MyRxHelp is to ensure that a member of any participating employer-sponsored plan can access the medication he or she is prescribed but is excluded from their employer health plan and cost-prohibitive to pay for out of pocket. 

•  The goal of MyRxHelp is to work together with the employee to find the lowest possible price for an excluded prescription medication, which most often are obtainable for free through pharmaceutical company sponsored programs. 

•  The MyRxHelp Nurse Advocates are specialists in providing employer-sponsored plans comprehensive medication assistance and advocacy support services that assist members in finding lower cost solutions to the high cost of find lower or no-cost solutions for high dollar medications.

•  The MyRxHelp is a value-added service for participating employer-sponsored plans, and not a replacement for a member’s current health care coverage. It is designed to work as an added service for employees whose employer may not have coverage for a prescribed drug. When employers save money on prescription medications, the employees save money too.

MyRxHelp Medication Assistance Advocacy Services:

•  MyRxHelp is a service staffed by Nurse Advocates specializing in medication access and is designed to support participating Employers whose members are prescribed medications that are not included as part of their health plan’s approved formulary. They assist the member in accessing the medication through a network of resources that are widely available. 

•  The primary focus of MyRxHelp is to ensure that a member of any participating employer-sponsored plan can access the medication he or she is prescribed but is excluded from their employer health plan and cost-prohibitive to pay for out of pocket. 

•  The goal of MyRxHelp is to work together with the employee to find the lowest possible price for an excluded prescription medication, which most often are obtainable for free through pharmaceutical company sponsored programs. 

•  The MyRxHelp Nurse Advocates are specialists in providing employer-sponsored plans comprehensive medication assistance and advocacy support services that assist members in finding lower cost solutions to the high cost of find lower or no-cost solutions for high dollar medications.

•  The MyRxHelp is a value-added service for participating employer-sponsored plans, and not a replacement for a member’s current health care coverage. It is designed to work as an added service for employees whose employer may not have coverage for a prescribed drug. When employers save money on prescription medications, the employees save money too.

MyRxHelp Nurse Advocates:

•  Speak directly with employees regarding their prescribed medication and any issues he or she might have with it not being covered by their employer-sponsored health plan.

•  Evaluate all possible avenues to access the medication if there is an exclusion in the participating employer-sponsored health plan. 

•  Work directly with the member to access all prescription assistance programs, also helping with forms, documentation and processing.   

•  With the employee’s authorization and together with our Medical Director, work with physicians, primary care providers, or other prescribers to ensure the applications are accurate and complete.

MyRxHelp Nurse Advocates:

•  Speak directly with employees regarding their prescribed medication and any issues he or she might have with it not being covered by their employer-sponsored health plan.

•  Evaluate all possible avenues to access the medication if there is an exclusion in the participating employer-sponsored health plan. 

•  Work directly with the member to access all prescription assistance programs, also helping with forms, documentation and processing.   

•  With the employee’s authorization and together with our Medical Director, work with physicians, primary care providers, or other prescribers to ensure the applications are accurate and complete.

MyRxHelp Medication Assistance Advocacy Services

MyRxHelp Medication Assistance Advocacy Services

  • Why would an employer want to offer Medication Assistance Advocacy services to employees?

    Employers understand healthcare is both costly and complicated and their employees often don’t understand their healthcare plans and benefits. 


    Nurse Advocates specializing in health care and medication access programs speak to the member directly, alleviating any potential human resources burden at the Employer level.


    The MyRxHelp Nurse Advocate will provide the information and assistance required to ensure that employees receive the medications they need in a timely manner if an exclusion exists with their health plan. 


    The MyRxHelp services reduce the burden to human resources and in turn, lessens the financial burden on the plan. 

  • How does the MyRxHelp Medication Assistance Advocacy services save money?

    Participating employer-sponsored plans with qualified employees and their dependents have access to medications through pharmaceutical manufacturer programs.  This reduces the overall cost to the employer-sponsored health plan.  In addition, employees don’t’ have any out of pocket co-pay expense for costly Brand name medications.   


    It’s widely known that employer-sponsored health plans save money when their employees become more educated consumers of their healthcare benefits, especially when access to medication is an issue. 


    When supported by MyRxHelp Nurse Advocates, covered employees have lower overall costs, continuity of care, improved overall health and are faster to return to work.  


    The cost to implement the MyRxHelp service is zero if an employer-sponsored plan is part of our network.  Just one member handled efficiently could save the employer thousands of dollars. 


    MyRxHelp services are the only collective organization of experts that can offer employer-sponsored plans an extensive working knowledge of prescription medication assistance services, an understanding of regulatory and participation guidelines, and can make recommendations and guide employers, human resources managers and employees without burden.

  • Does MyRxHelp comply with HIPAA regulations?

    Absolutely YES!


    MyRxHelp services maintain and protect all information we receive in accordance with State and Federal privacy standards. 


    The MyRxHelp services also eliminates much of the employer-sponsored plan liability under HIPAA, because our Nurse Advocates are directly assisting covered employees instead of a Human Resource Department.  Members communicate directly with MyRxHelp for assistance in obtaining non-covered Brand medications, taking employer human resource managers out of the problem-solving loop.

  • Who is eligible and how often can a covered employee use MyRxHelp services?

    MyRxHelp services work with employees and any immediate family members who are covered under his or her employer-sponsored health plan as long as they are participating in the MyRxHelp network. 


    MyRxHelp services are available to any member whose plan does not cover a Brand name medication.

MyRxHelp Medication Assistance Advocacy Services

MyRxHelp Medication Assistance Advocacy Services
  • Why would an employer want to offer Medication Assistance Advocacy services to employees?

    Employers understand healthcare is both costly and complicated and their employees often don’t understand their healthcare plans and benefits. 


    Nurse Advocates specializing in health care and medication access programs speak to the member directly, alleviating any potential human resources burden at the Employer level.


    The MyRxHelp Nurse Advocate will provide the information and assistance required to ensure that employees receive the medications they need in a timely manner if an exclusion exists with their health plan. 


    The MyRxHelp services reduce the burden to human resources and in turn, lessens the financial burden on the plan. 

  • How does the MyRxHelp Medication Assistance Advocacy services save money?

    Participating employer-sponsored plans with qualified employees and their dependents have access to medications through pharmaceutical manufacturer programs.  This reduces the overall cost to the employer-sponsored health plan.  In addition, employees don’t’ have any out of pocket co-pay expense for costly Brand name medications.   


    It’s widely known that employer-sponsored health plans save money when their employees become more educated consumers of their healthcare benefits, especially when access to medication is an issue. 


    When supported by MyRxHelp Nurse Advocates, covered employees have lower overall costs, continuity of care, improved overall health and are faster to return to work.  


    The cost to implement the MyRxHelp service is zero if an employer-sponsored plan is part of our network.  Just one member handled efficiently could save the employer thousands of dollars. 


    MyRxHelp services are the only collective organization of experts that can offer employer-sponsored plans an extensive working knowledge of prescription medication assistance services, an understanding of regulatory and participation guidelines, and can make recommendations and guide employers, human resources managers and employees without burden.

  • Does MyRxHelp comply with HIPAA regulations?

    Absolutely YES!


    MyRxHelp services maintain and protect all information we receive in accordance with State and Federal privacy standards. 


    The MyRxHelp services also eliminates much of the employer-sponsored plan liability under HIPAA, because our Nurse Advocates are directly assisting covered employees instead of a Human Resource Department.  Members communicate directly with MyRxHelp for assistance in obtaining non-covered Brand medications, taking employer human resource managers out of the problem-solving loop.

  • Who is eligible and how often can a covered employee use MyRxHelp services?

    MyRxHelp services work with employees and any immediate family members who are covered under his or her employer-sponsored health plan as long as they are participating in the MyRxHelp network. 


    MyRxHelp services are available to any member whose plan does not cover a Brand name medication.