Prescription drug coverage is included with each medical plan option through Express Scripts. Prescriptions are covered based on whether they are generic, brand-name formulary or brand-name non-formulary. Log into Express Scripts and review the Express Scripts Formulary to see if your prescription drugs are listed.
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With the Basic HSA and HSA Plus Plans, you must first meet the medical plan deductible before the plan shares the cost with you for most medications. However, you do not need to meet the deductible for preventive medications (as defined by Express Scripts) before the plan shares the cost with you. Review the 2020 preventive drug list or 2021 preventive drug list from Express Scripts to see if your prescription drugs are listed.
Prescription coverage is the same for the Basic PPO and Classic PPO: You don’t have to meet a deductible before you and the plan share costs. Your pharmacy expenses count toward the out-of-pocket maximum (OOPM) as does your share of medical expenses. Once you meet the OOPM, your medical services and prescription drug expenses will be 100% covered.
Express Scripts Features
Maintenance medications can be filled via mail order or at a retail pharmacy. Maintenance medications are taken on a regular basis for chronic, long-term conditions, such as high blood pressure, high cholesterol and diabetes. Visit the Express Scripts website to learn how to enroll in the mail-order program. For most prescriptions, Express Scripts will contact your doctor on your behalf to request a 90-day supply of your medication.
We want getting your medicine to be easy for you! Visit the Express Scripts website to learn about all of their services.
Looking for Which Drugs are Considered Preventive?
Click to view the appropriate Express Scripts list of preventive generic drugs:
Good Terms to Know
Not sure what we mean? Here are some Good Terms to Know.
Frequently Asked Questions
Review the FAQs for answers to commonly asked questions about benefits.