Administered through Express Scripts*
Whatever medical plan you choose, you are automatically enrolled in the Prescription Drug Program.
This program uses the formulary that parallels the following three-tier program used by Express Scripts. A formulary is a list of prescription drugs covered by a particular drug benefit plan.
Retail (30-day supply)
Brand Formulary $30
Brand Non-formulary $50
Mail Order (90-day supply)
Brand Formulary $75
Brand Non-formulary $125
Incentivized Mail Order Program
Members that utilize maintenance medication will receive a financial incentive to have their medication filled through Mail Order instead of a Retail Pharmacy. The prescription will provide a 90 day supply and the co-pay will be less than you would pay over 90 days at a Retail Pharmacy.
Preferred Drug Step Therapy (PDST)
Members will be required to try a generic drug before utilizing a brand name drug. In most cases, the generic alternative is chemically equivalent. In the event that you have tried the generic in the past and it does not work for you, the physician has the ability to contact Express Scripts with a prior authorization.
For more information, please feel free to contact Express Scripts at 1-800-711-0917 or www.medco.com
The Express Scripts mobile app provides the personalized one-of-a-kind tools you need to help you stay on track with taking medications and managing prescription costs. Download the app for free and log in with your medco.com user ID and password to take advantage of its features.
Did you know you can view your prescription history or renew a prescription online? Learn more about these and other services available from Express Scripts Pharmacy through an informative video (select the "Flash" option for video with sound; the HTML version will be in the form of a slide show).