Marketplace Pharmacy Benefits

Community is committed to providing you with pharmacy benefits to give you clarity, guidance, and peace of mind regarding prescriptions and improving your health. Here are the directions for how to find a pharmacy provider:

Determine your financial responsibility for a drug based on your pharmacy benefit.

Please review the Pharmacy Benefit Schedule in our pharmacy handbook.

Initiate the exceptions process.

To request an exception, please contact Navitus Health Solutions toll-free at 1.866.333.2757.

To order a mail-order prescription.

Click here to go to the Pharmacy Postal Prescription Services (PPS) website.
To order a refill for an existing mail-order prescription, please click sign in.

PPS website - Sign in

Enter your email address and password where indicated, then click the blue “Sign-In” button.

PPS website - Sign in page

To create a new PPS account, please click create an account.
Enter your email address where indicated, then press the blue “Send Verification Code” button.

PPS website - Create your account

Enter the verification code that was sent to your email address, then press the blue “Submit” button.

PPS website - Verification code

Follow the on-screen instructions for adding your personal and prescription information.
If you have problems with your online PPS account, please contact the PPS Customer Service Center at 1.800.552.6694.

To find the location of an in-network pharmacy and/or conduct a pharmacy proximity search based on your ZIP code.

Step 1:

Go to https://www.communityhealthchoice.org/ and select “Find a Doctor.”
Click “Next” at the bottom right to get started.

Step 2:

Select the Marketplace plan you are enrolled in. Here are the two different plans:

PREMIER PLANS – BROADEST NETWORK
Our Premier plans have the broadest network of high-quality Providers across Southeast Texas that are committed to delivering a high standard of care.

SELECT PLANS – LIMITED NETWORK
With a smaller network of high-quality providers, our Select Plans allow us to pass on lower premiums and out-of-pocket costs to our Members without sacrificing quality of care. The Select Plans are available only to Harris County residents.

Once you have selected the plan you are enrolled in, click “Next.”

Step 3:

Validate your ZIP code or address for pharmacies that are near you and click “Validate Address.” Click “Next.” (Example: 77054)

Step 4:

Click “Pharmacies” and “Search.”

Step 5:

The search results will show you the pharmacy closest to you.

Step 6:

Use the drop-down menu to select proximity (5 to 75 miles) and click the “Search” button.