The Fresno Unified School District’s Medicare Part D EGWP plan, ElixirRx Plus, was officially terminated on July 1, 2023. Most Medicare-eligible members were enrolled in the Aetna Medicare Advantage PPO plan. However, members not enrolled in the Aetna Medicare Advantage PPO plan were moved to a different ElixirRx plan.
If you were previously enrolled in ElixirRx Plus, but were not enrolled in the Aetna Medicare Advantage PPO, you now need to present your PPO Plan A or PPO Plan B medical/prescription combo card at the pharmacy, rather than the ElixirRx Plus card.
Medicare Prescription Benefits
While the ElixirRx Plus plan has ended, you will still enjoy a zero deductible on prescription drugs as an enrollee with your new ElixirRx plan. Additionally, out-of-pocket costs for prescription drugs will now be capped at:
- PPO Plan A: $400 for individuals and $800 for families
- PPO Plan B: $900 for individuals and $1,800 for families
| 30-day supply | 90-day supply | |
| Generic Drugs | $0 / $10 | $0 / $20 |
| Preferred Brand | $35 | $70 |
| Non-Preferred Brand | $50 | $100 |
Who to Contact
Requirements for generic drugs, maintenance medications, prior authorization, and step therapy will apply to all those enrolled with ElixirRx.
For more information on ElixirRx, visit the Prescription Benefits page.
If you have a question about your eligibility for drug coverage, please contact the District benefits office at (559) 457-3520.
