Naloxone: US Family Health Plan coverage.

Naloxone: US Family Health Plan coverage

Did you know that your US Family Health Plan covers naloxone—a life-saving medication used for known or suspected opioid overdoses? Prescription opioids can be used to help relieve moderate-to-severe pain and are often prescribed following a surgery or injury, or for certain health conditions. While these medications can be an important part of treatment, they also carry serious risks of addiction, accidental overdose, and death.

Opioid overdose can occur in anyone, even if taking opioids as prescribed. Certain chronic conditions such as respiratory conditions, and certain other medications such as benzodiazepines (e.g., lorazepam, diazepam, etc.) can increase this risk. Naloxone can be given during an opioid overdose and may reverse the effects. If you have an opioid overdose, naloxone could save your life and having it available could provide some peace of mind for you and your family members. If you are at risk of a possible opioid overdose, we encourage you to talk with your doctor about getting a prescription for naloxone or purchasing it over the counter.

How is naloxone covered under your US Family Health Plan?

With a prescription, you can receive prescription naloxone nasal spray and naloxone injection under your pharmacy benefit with a tier 1 copay at retail pharmacies and the Martin’s Point Mail-Order Pharmacy. There is a limit of 2 cartons (containing 2 nasal sprays each) per fill.

With a prescription, you can also receive over-the-counter naloxone nasal spray under your pharmacy benefit with a $0 copay at retail pharmacies and a tier 1 copay at the Martin’s Point Mail-Order Pharmacy. There is a limit of 2 cartons (containing 2 nasal sprays each) per fill.