Express Scripts

Prescription Drug Benefits

Starting in January 2020, prescription drug benefits will now be offered under Express Scripts. When you enroll in one of the Aetna medical plan options, you’ll automatically have prescription drug coverage through Express Scripts. With this change in vendor, participants will receive a new prescription drug card, separate from their medical ID card. The drug plans will remain similar in design in terms of copayments and coinsurance.

This program includes a Formulary Management Program that uses a “four-tier” co-payment approach to covered drugs and is designed to control cost for you and the plan.

  • Tier 1 includes primarily generic drugs (smallest copayment)

  • Tier 2 includes formulary drugs (middle copayment)

  • Tier 3 includes brand formulary drugs (highest copayment)

  • Tier 4 includes specialty drugs

FEATURE

PLATINUM PLUS

PLATINUM

GOLD (HSA)

Tier 1 copay

$7

$7

$7

Tier 2 copay

$30

$30

$30

Tier 3 copay

$55

$55

$55

Tier 4 copay

20% up to a max of $100

20% up to a max of $100

20% up to a max of $100

90-day mail order

$14/$60/$110

$14/$60/$110

$14/$60/$110

 

RX Home Delivery

Express Scripts offers a home delivery service for drugs used to treat long-term conditions like high blood pressure or diabetes. You can get up to a 90-day supply of medicine by mail. With home delivery, employees prescription deliveries will have safe handling, secure packaging, and quick delivery, plus free standard shipping.

Register at Express-Scripts.com and You Can:

  • Have prescriptions mailed to your home, doctor’s office, or anywhere you choose

  • Check your order status

  • Refill and renew prescriptions

  • View your Rx claims and balances

  • Check prices and coverage

  • View our therapeutic resource centers for information

  • Have ongoing support from a team of specialists to help you stick with your care plan

 

Express Scripts Resources