Prescription Drug Coverage

If you enroll in our Anthem medical plan, you will automatically be enrolled in the Express Scripts Prescription coverage.

You can find a pharmacy in-network near you by logging into www.expressscripts.com.

Keys things to know when you need a prescription

The amount you pay for prescriptions depends on whether you:

  • Choose generic or brand-name drugs,
  • Purchase your prescription at a participating or a non-participating pharmacy, or
  • Purchase your prescription through a retail pharmacy or the mail order service.
  Retail (30- Day Supply) Mail-Order (90-Day Supply)
  You Pay You Pay
Generic Drugs 20% coinsurance after the deductible is met 20% coinsurance after the deductible is met
Preferred Drugs 20% coinsurance after the deductible is met 20% coinsurance after the deductible is met
Non-Preferred Drugs 20% coinsurance after the deductible is met 20% coinsurance after the deductible is met

 

Specialty medication pharmacy
You must fill certain specialty prescriptions through the Express Scripts specialty pharmacy – Accredo – or your prescription will not be covered. Contact Express Scripts for more information.

Lower-cost preventive medications
If you are enrolled in the Anthem BCBS CDHP medical plan, you’ll pay less for certain preventive medications – ones that help slow or stop the development of certain health conditions. If you are taking a drug on the Express Scripts Preventive Drug List, you will not have to meet your annual deductible before the plan starts paying benefits.

Express Scripts has a large national network of retail pharmacies so if you’re away from home, you are likely to find a network retail pharmacy. To find a network retail pharmacy near you, go to www.expressscripts.com or call 855-778-1424.

Registering with Express Scripts: Registering with Express Scripts is simple and confidential. Follow these steps to gain online access through the website or mobile app:

  1. Go to www.expressscripts.com, select “Register” or download the Express Scripts mobile app for free from your app store and select “Register”
  2. Complete the information requested, including personal information and member ID number or Social Security Number (SSN), create your username and password, along with security information in case you ever forget your password
  3. Click “Register Now”

Get Started with Home Deliveries: Refills and renewing eligible prescriptions just got easier! You can set up home deliveries from the Express Scripts Pharmacy for those maintenance medications.

Follow these steps to manage your home delivery prescriptions:

  1. Log in to www.expressscripts.com (You will need to register if it is your first visit. Just have your member ID or SSN handy.)
  2. If you have a New prescription, there are 3 ways to start.
    1. Contact your doctor to request a 90-day prescription that he or she can ePrescribe directly to Express Scripts
    2. Print a form by selecting “Forms” or “Forms & Cards” from the menu under “Benefits”. Select a mail order form and follow the mailing instructions.
    3. Call Express Scripts and Express Scripts will contact your doctor for you.
      Please allow 10 to 14 days for your first prescription order to be shipped.
  3. If you already have a prescription, you can do a couple things…
    1. Check order status online or use the app to view details and track shipping.
    2. Transfer retail prescriptions to home delivery. Just click Add to Cart for eligible prescriptions and check out. Express Scripts will contact your provider on your behalf and take care of the rest. Check Order Status to track your order.
    3. Refill and renew prescriptions for yourself and your family while online or while using the app. Just click Add to Cart for eligible prescriptions and check out. Express Scripts will contact your provider on your behalf, if renewals are included, and take care of the rest.