BeneCard PBF Prescription Benefit Center
Welcome to the Hoboken Public School District’s dedicated prescription benefits page. Effective August 1, 2026, the district is transitioning our prescription drug benefit carrier to BeneCard PBF.
Welcome Letter - Hoboken City Board of Education
To keep you informed while reducing paper waste and administrative costs, we have centralized all essential transition guides, plan documents, and resources right here on this page. Below, you will find quick access to your plan summaries, formulary lists, registration instructions, and coverage tools.
Please review the documents below to ensure a seamless transition for you and your covered dependents.
2026–2027 Prescription Plan Comparison
Hoboken BOE Prescription Plan Copay Comparison
Description: A quick reference chart breaking down retail and mail-order copayments across all district health plan options. Use this document to check your exact out-of-pocket costs for generic, formulary brand, and non-formulary brand medications under your specific plan.
BeneCard Primary Formulary (Group 1 / State Plan RX201)
BeneCard Primary Formulary (Drug List) – Group 1
Description: The covered drug list for employees enrolled in Group 1 (Direct 10 & Direct 15 Plans). Review this document to check drug coverage tiers, brand vs. generic availability, and prior authorization requirements for your plan.
BeneCard Performance Formulary (Groups 2 & 3 / State Plan RX298 & RX299)
BeneCard Performance Formulary (Drug List) – Groups 2 & 3
Description: The covered drug list for employees enrolled in Groups 2 & 3 (NJ Educator's Health Plan & Garden State Health Plan). Review this document to check drug coverage tiers, brand vs. generic availability, and prior authorization requirements for your plan.
BeneCard PBF Performance Formulary Drug List Exclusion Alternatives (Groups 2 & 3 / State Plan RX298 & RX299)
Benecard Performance Formulary Exclusions & Preferred Alternatives Guide
Description: A quick-reference guide for employees enrolled in Groups 2 & 3 (NJEA & Garden State Health Plans) This document lists non-covered medications alongside their lower-cost, covered generic or brand-name alternatives. You can share this list with your doctor if a prescribed medication requires a formulary alternative.
Summary of Benefits and Coverage (SBC) – Group #1000-1099
Summary of Benefits and Coverage (Group 1000-1099 – Direct 10/15)
Description: The official federal coverage summary for employees enrolled under Group #1000-1099. Outlines plan coverage, annual out-of-pocket limits ($2,120 Individual / $4,240 Family), copays, and plan exclusions.
Summary of Benefits and Coverage (SBC) – Group #2000-3099
Summary of Benefits and Coverage (Group 2000-3099 – NJEHP/GSHP)
Description: The official federal coverage summary for employees enrolled under Group #2000-3099. Outlines plan coverage, annual out-of-pocket limits ($1,600 Individual / $3,200 Family), copays, and plan exclusions.
Digital ID Card Guide
How to Access Your Digital Benecard ID Card
Description: Download this step-by-step guide to learn how to access a digital copy of your BeneCard ID card right from your smartphone. This guide walks you through registering your online account at BeneCardpbf.com and logging into the free BeneCard PBF mobile app.
BENECARD PBF: Contacts, Links and FAQs
BeneCard Member Portal: https://portal.BeneCardpbf.com/PBF/signIn.do
The BeneCard PBF Member Portal gives you fast, easy, secure access to helpful member tools.
- Find a pharmacy.
- Check drug prices.
- View copay and coverage details.
- Manage mail order refills.
- Set up email and text notifications.
- Review your prescription history.
It only takes a few moments to register for the portal. You’ll need your Member ID number (found on your Member ID card), and a few moments to enter important details such as contact information.
Mobile App
The BeneCard PBF Mobile App provides fast, easy, secure access to member services from anywhere using your smartphone or tablet.
- Mail order made easy with BeneCard Central Fill.1
- Network pharmacies at the tip of your finger.
- Drug pricing tool to help you make the most of your benefits.
- Temporary ID cards. 2
- Secure servers.
To use the app, simply download from the App Store or Google Play, and log in with your BeneCardpbf.com username and password.
1 Prescription refill services through the app are available exclusively for BeneCard Central Fill mail order pharmacy.
2 Feature may not be available for all prescription plans.
What is a pharmacy benefit manager?
Pharmacy benefit managers were created in the 1970s to handle the administrative aspects of prescription drug coverage. Over time, they began to offer clinical programs aimed at patient safety and negotiated with drug manufacturers to obtain better prices on prescription drugs for consumers.
BeneCard PBF was founded on the basis of clinical excellence. We’re here to put your health and safety first. We also work closely with pharmacies, prescribers, and plan sponsors – your benefit providers – to provide you with the most effective care at the best value.
How do I know if my prescription is covered by my benefit?
BeneCard PBF releases updated formularies (a list of covered drugs) twice a year. Updates typically take effect in January and July. You can access your plan’s formulary by logging into the online Member Portal. You can also call Member Services 888-907-0070 for help obtaining a hard copy of the formulary or if you have formulary questions.
Please note that the inclusion of a product on the formulary does not guarantee coverage in all cases. The product may be subject to Clinical Review or other specifics of your plan design for coverage. Learn more about Clinical Reviews below.
How do I find a participating pharmacy?
Most pharmacies participate in the BeneCard PBF network. You can easily locate a nearby participating pharmacy by using the pharmacy locator tool in the Member Portal or our mobile app, or by calling Member Services 888-907-0070.
What if I lose my card or need an extra one?
Notify the benefits manager at your organization immediately if you lose your card or need a duplicate. A new card can be issued within a few days. Your plan may also allow you to access a temporary copy of your member card online through the Member Portal or our mobile app.
If you have used your BeneCard PBF card at a pharmacy before, they may have your information on file in their computer system. If so, you’ll only need to present your prescription and your personal identification, such as your driver’s license. If you’re having any problems getting your prescription filled, call us directly at 1-888-907-0070.
You can also pay the cash price for the prescription and file a reimbursement form later. However, depending on your plan design, the medication may cost more even after reimbursement than what you would have paid with your member card.
What happens when I submit my prescription to the pharmacy?
When you submit a prescription to your pharmacy, the pharmacist will process it through the BeneCard PBF claims system to see if it’s covered by your prescription benefit plan. At the same time, the claims system will look for any safety precautions. If it identifies any concerns, it will alert the pharmacist.
Sometimes the pharmacist can resolve the issue simply by calling your prescriber to discuss the best course of action. We make sure they have the relevant information they need to work with your prescriber to find the best treatment for you.
Other times, your prescription may need to be reviewed by BeneCard PBF’s pharmacists as part of our clinical programs. Find out more about Clinical Reviews below.
What is a Clinical Review? How does it work?
Some medications require a Clinical Review to check for potential safety concerns. During the review, our pharmacists will look at the medication you’ve been prescribed along with your unique health profile. This includes the diagnosis the medication is intended to treat, other medications you may be taking, and any other health conditions you may have.
Our pharmacists also take into account guidelines issued by the U.S. Food and Drug Administration (FDA) and the medication’s manufacturer. These guidelines contain information on safe and effective use, such as appropriate dosing, age limitations, and important warnings and contraindications.
If we need more information to assess medication safety and appropriateness, our pharmacists will reach out to your prescriber. You can track the Clinical Review process online through the Member Portal and sign up for email or text alerts. This can even help you reach out to your prescriber to find out if they have received any requests for information from BeneCard PBF and if they’ve had a chance to respond to the inquiry.
How much will my prescription cost?
The cost of prescriptions can vary depending on your copay structure and which pharmacy you use. Our drug pricing tool allows you to check costs at network pharmacies. To access the tool, simply log into your member account through the Member Portal or our mobile app. You can also review your plan’s copay structure in the Member Portal or by calling Member Services 888-907-0070 for assistance.
The inclusion of a product in the drug pricing tool does not guarantee coverage. The product may be subject to Clinical Review or other factors for coverage.
Where can I learn more about my prescription plan?
You can find plan information such as the formulary (a list of covered drugs), copay structure, and information on participating network pharmacies in the Member Portal. To access the portal, you’ll need a member account. You can learn how to set up an account here.
In addition, you can contact Member Services 888-907-0070 at any time with questions about your prescription benefit. Your benefits office or human resources team may also be able to assist you.
Member Services
1-888-907-0070
TDD: 888-907-0020
Benecard Services' Members Call: 1-877-723-6005
Mail Service
Mail Service Pharmacy: 888-907-0090
Phone: 888-907-0070
TDD: 888-907-0020
Benecard Services' Members Call: 1-877-723-6005
If you have questions regarding your mail order prescriptions, please call your dedicated number listed above.