About MedOne

MedOne Healthcare Systems is a national, full-service pharmacy benefit management (PBM) company proudly headquartered in the midwestern city of Dubuque, Iowa.


We partner with middle market companies and other plan sponsors to create and manage transparent pharmacy benefit programs. With MedOne as your trusted pharmacy advocate, plans and members experience an unmatched level of service, superior clinical outcomes and greater pharmacy savings.

MEDONE OFFERS OUR CLIENTS AND MEMBERS THE FOLLOWING CORE SERVICES
Proprietary claims processing
Rebate aggregation
National network of retail pharmacies
Formulary management
Mail-order pharmacy services
Clinical and specialty medication services

Our Leadership

  • Wes Hartig
    CEO
  • Janelle Shimon
    VP of Client Services
  • Nathan Harold
    VP of Clinical Services

Our Board

  • Dick Hartig
    Founder
  • Wes Hartig
  • Charlie Hartig
  • Mark Lyle
  • George Lazenby
  • Murray Lyle

Why MedOne

Our Guarantees

Full disclosure of all administrative fees.
Return on investment for all clinical programs.
Design your pharmacy benefit to meet your goals
Understand your pharmacy spend drivers and take action
Customize network and drug coverage to limit disruption and maximize savings
100% pass-through of ALL network discounts and rebates
Single per-claim administrative fee and no hidden fees
Easily understood and reconcilable invoicing
Regular meetings with a dedicated account manager and pharmacist
Proactive suggestions for cost-saving strategies
Personal member service experience
Every clinical review conducted by a residency-trained pharmacist
In 2015, our clinical programs generated $9 PMPM in average savings for our clients
Average $20 of savings for every $1 of clinical review charges

Members

MedOne serves as your personal pharmacy benefit advocate by:



Ensuring you understand your pharmacy benefit coverage
Helping you conveniently access the most appropriate prescription treatment at the most affordable price



FEELING THE BURDEN OF EXPENSIVE MEDICATIONS?

FOLLOW THESE THREE SIMPLE STEPS

Always ask your doctor and pharmacist if a generic alternative is available.
Print the MedOne Clinical Guide and share it with your doctor.
Enroll in MedOne Pharmacy Services for convenient and FREE home delivery.

Find in-network pharmacies near you and check your prescription prices before you go to the pharmacy

Frequently Asked Questions

  • What is a pharmacy benefit management (PBM) company and what does it mean to me?

    A PBM works with your employer or benefits provider to negotiate prescription prices with the pharmacies in your community to save you money. When you enroll in health insurance with your employer, you will receive a card with your personal prescription drug benefit information including Member ID (personal identifier), Group # (employer identifier), Bin # / PCN (PBM identifier). This information may be included on your health insurance card or a separate card specific to your pharmacy benefit. When you pick-up a prescription from your pharmacy, you will be asked to provide this card to determine what you must pay (aka your co-pay or co-insurance) prior to receiving your prescription.

  • Can I check to see what my co-pay or co-insurance will be for a specific prescription prior to going to the pharmacy?
    Yes. Register or login to the Member Portal to check pricing or contact one of our Member Service Representatives at 888-884-6331.
  • My pharmacist said my prescription was rejected and requires prior authorization. Now what?
    Ask your pharmacist if the prior authorization process has been started and if they will follow-up with you once a determination has been made. The prior authorization process will take approximately 3-4 business days. The purpose of the prior authorization is to review the prescription with your physician to ensure it is safe, effective and the most appropriate treatment for you. For more information about your prior authorization, please contact one of our Member Service Representatives at 888-884-6331.
  • What can I do if I can't afford any medications?
    Work with your doctor and pharmacist to make sure you are using the most cost-effective treatment for your condition. Make sure you are using a preferred pharmacy and mail-order, if possible. If you are prescribed a high-cost specialty medication, one of our Member Service Representatives can work with you to search for financial assistance. Contact them at 888-884-6331.
  • Why should I sign-up for MedOne's mail order pharmacy?

    MedOne Pharmacy Services is the most convenient and inexpensive way to have your medications sent to a location of your choice for FREE. Mail-order works best for medications you take regularly and that don't change often. Examples of medications suited for mail-order are those that treat high blood pressure, heart disease, cholesterol, asthma and diabetes.

  • How do I sign up for MedOne's mail order pharmacy?

    Fill out a mail-order form and mail it to MedOne Pharmacy Services at PO Box 1537, Dubuque, IA 52004. You can also fax it to 563-588-0173. One of our pharmacy staff members will contact you before your initial medication shipment.

    You can also ask your doctor to send your prescription to MedOne Pharmacy Services through his or her e-prescribing software or via fax to 563-588-0173. One of our Member Service Representatives will contact you within 24 hours to complete the sign-up process.

  • How do I pay for my co-payment?

    Credit card (including HSA or FSA) is the preferred method. Payments by electronic funds transfer (EFT) is also available. You may also pay by personal check or money order. Co-payments must be paid in full before medications will be shipped. Please call 877-896-0919 for more information.

  • Can I transfer an existing prescription to start receiving it via mail?

    Yes, one of our pharmacists will transfer the prescription from your current pharmacy. Please call 877-896-0919 with the name and phone number of the pharmacy you are currently using and the medication name. We will do the rest!

  • How long does it take to receive my prescription?

    When we receive your completed mail-order form, you will be contacted within three business days to finalize enrollment. Please allow for 10-14 days to receive your initial shipment once enrollment is completed.

  • How will my prescription be sent to me?

    In almost all cases, your prescriptions will be delivered via the US Postal Service. Prescriptions with special storage requirements will be shipped via overnight carrier and all deliveries will be scheduled with the recipient.

  • How do I refill my prescriptions?

    During enrollment, your account can be set up for refills to be automatically sent in advance of your medication being used in full. If you do not want your medication automatically refilled and shipped, you may elect to use our refill request line at 877-896-0919 (press option 2). With this option, your medication will only be shipped upon request. Please allow 10-14 days to receive your medication.

  • What if I am traveling or at my seasonal home?

    We can always ship your order to the address of your choice. Simply call 877-896-0919 and let us know where you would like your prescription shipped.

Couldn't find the answer to your question?

Contact Us

Partners

MedOne partners with key stakeholders to raise the bar in pharmacy benefit management

Full control over cost-sharing with employees, pharmacy network access and drug coverage

Transparent pricing model with invoicing accompanied by claims file to prove there are no hidden fees

Proactive cost-saving strategies and quick turnaround time for plan change requests

Partnership for winning and retaining business by improving client satisfaction

Collaborative approach to client meetings with clinical firepower

Regular reporting on your entire MedOne book of business

Full spectrum of pharmacy services offered to your clients

Standardized and efficient integration / data exchange

Regular reporting on your entire MedOne book of business

Providers

MedOne streamlines the pharmacy experience for providers by offering tools to support the prescribing process.


PRIOR AUTHORIZATION FORMS
STEP THERAPY GUIDE
DOWNLOAD PDF
PREFERRED PRODUCT LIST
DOWNLOAD PDF
SPECIALTY PRODUCT LIST
DOWNLOAD PDF

Forms

Here is a list of commonly used forms and resources:

MEMBER
PROVIDER

Couldn't find the form you were looking for?

Contact Us

Careers

We are always looking for talented, innovative and collaborative team members. If you are interested in joining our team, please send your resume to careers@medonehs.com

Member Services Rep
Dubuque, IA
Full-Time

Client Services Representative
Dubuque, IA
Full-Time

Clinical Review Coordinator
Dubuque, IA
Full-Time

Contact us

For member, provider or plan questions
888-884-6331
Set up an introductory appointment to learn more
Phone
Fax
Email
Address
888-884-6331
563-588-8725
Send us a secure email!
1590 University Ave Dubuque IA 52001