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Marketplace Pharmacy Benefits

Marketplace Pharmacy Benefits

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.

Community Health Choice uses the online Pharmacy Postal Prescription Services (PPS) to fulfill mail-order prescriptions. Please follow the steps below to order your medication via mail:
  • 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 and select “Find a Doctor.”
Click “Next” at the bottom right to get started.

Find a Pharmacy

Step 2:

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

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

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.”

Find a Pharmacy

Step 3:

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

Find a Pharmacy

Step 4:

Click “Pharmacies” and “Search.”

Find a Pharmacy

Step 5:

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

Find a Pharmacy

Step 6:

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

Find a Pharmacy

Determine the availability of generic substitutes.

Drug Formulary sample - Page 1
  • Press “CTRL + F” simultaneously to open the search bar.
Drug formulary sample
  • Enter the name of your prescription drug into the search bar, and then press “Enter.”
Drug formulary sample
  • Generic drugs will appear in small letters in the drug chart.
Drug formulary sample

Why Choose Community?

As a local nonprofit health plan, Community Health Choice gives you plenty of reasons to join our Community. From the benefits and special programs we offer to the way our Member Services team helps you make the most of them, Community is always working life forward for you and your family.

“Community Health Choice is always there to answer my questions and help me and my family with our medical needs. I truly appreciate and value their customer support and service.”

– Cecily
Member of Community Health Choice