Your co-payments for the Express Scripts Home Delivery Service are outlined in the Health Summary Plan Description and vary depending on whether the prescription is a generic or brand drug. Co-pay maximums for mail order are $50 for generic drugs, $125 for preferred brands and $300 for non-preferred brands.
If your prescription is for a brand-name drug that has a generic alternative, you will be responsible for the regular co-payment plus the difference in price between the generic and brand name prescription. This price differential does not apply toward the deductible amount.
The first time you are prescribed a medication, ask your doctor for two prescriptions: the first for up to a 30-day supply to be filled at a retail pharmacy; the second for the balance, up to a 90-day supply, to be filled through Express Scripts Home Delivery Service. Express Scripts Home Delivery Service will fill for a generic medication if your doctor does not write DAW (dispense as written) on the prescription.
Prescription orders are processed promptly and are usually delivered to you within eight days. If you are currently taking a medication, be sure to have at least a 14-day supply on hand when ordering. If you don't have enough, ask your doctor to give you a second prescription for a 14-day supply and fill it at a participating retail pharmacy while your mail-order prescription is being processed.
You may pay by check, money order, VISA, MasterCard, Discover/NOVUS, American Express or Diners Club.
Please note: The pharmacist's judgment and dispensing restrictions, such as quantities allowable, govern certain controlled substances and other prescribed drugs. Federal law prohibits the return of dispensed controlled substances.
Looking for more information? Check out the Rx Resource Guide, provided by the Health Plan, which contains information and links to assist you in finding prescription drug plans and assistance programs.
You may also want to look at MedlinePlus - the National Institute of Health's website for patients, their families and friends. This site provides up-to-date information about drugs and supplements as well as other health-related information.