Your Prescription Drug Plan covers prescription medications that are medically necessary for the diagnosis and/or treatment of an illness or injury and must be the subject of a prescription order.
The Plan’s prescription medication benefits are administered by Express Scripts. You’ll save money when you choose an Express Scripts participating retail pharmacy or the Express Scripts Online Pharmacy.
Manage your prescriptions, see your claims and much more on express-scripts.com or on the Express Scripts mobile app.
You do not pay a deductible before the Plan begins to pay benefits.
Non-Medicare Retiree Plans Annual Maximum Benefit: If you are enrolled in Retiree Plan, there is a $1,200 maximum benefit for each enrolled person per calendar year. (For Plan 2 Retirees who retired June 1, 2002 and after, the maximum benefit is $200 per enrolled person per calendar year.)
This is an overview of commonly used services for the Active Employees Plan. For full benefit details, please refer to the Active Employees Summary Plan Description.
When you fill your prescriptions at a retail pharmacy, how you pay is based on what type of pharmacy you choose:
To find an in-network provider, go to express-scripts.com, log in and search for a retail pharmacy near you. You can also use the Express Scripts mobile app or call (800) 372-5817.
Consider using the online pharmacy for maintenance medications, which:
You get a 90-day supply, and pay the equivalent of two retail copays. (It’s like getting three months for the cost of two at a retail pharmacy.)
There is no charge for shipping and you can set up automatic refills.
To get started, go to express-scripts.com, log in and click “How to use home delivery.” You can also use the Express Scripts mobile app or call (800) 372-5817.
Pre-authorization is required for specialty medications. Pre-authorization helps coordinate care between prescribing physician(s), labs and other associated services. It is required for:
Specialty prescription medications are distributed via home delivery and are limited to a 30-day supply. You’ll pay a $60 copay per prescription.
All specialty prescription medications are provided through Accredo.