Just like your medical plan covers visits to your doctor, your Express Scripts prescription plan covers the medicine your doctor prescribes. We’re the largest independent manager of pharmacy benefits in the United States and one of the country’s largest pharmacies, serving more than 85 million people. Millions trust Express Scripts for safety, care and convenience. Express Scripts makes the use of prescription drugs safer and more affordable. For the fastest service, please call the phone number listed on the back of your member ID card.
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Other pharmacies are available in our network.
If you qualify for Extra Help from Medicare to pay for your prescription drug costs, the amounts listed here may not apply to you.
Medicare Part B prescription drugs are not covered under the prescription drug benefit (Part D). Generally, we cover only prescription drugs, vaccines, biological products and medical supplies that are covered under the Medicare prescription drug benefit (Part D) and that are on our formulary.
Express Scripts Medicare’s pharmacy network includes limited lower-cost, preferred pharmacies in rural areas in Alaska; the Saver plan also includes limited lower-cost, preferred pharmacies in suburban areas in Puerto Rico, and the Choice plan also includes limited lower-cost, preferred pharmacies in rural areas in Oklahoma. The lower costs advertised in our plan materials for these pharmacies may not be available at the pharmacy you use. For up-to-date information about our network pharmacies, including whether there are any lower-cost preferred pharmacies in your area, please call Customer Service at 1.866.477.5703; TTY: 1.800.716.3231, or consult the online pharmacy directory.
Certain prescription drugs will have maximum quantity limits.
Your prescriber must get prior authorization from Express Scripts Medicare for certain prescription drugs.
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Covered Part D drugs are available at out-of-network pharmacies under certain circumstances, including illness while traveling outside the plan's service area, where there is no network pharmacy. You may also incur an additional cost for drugs received at an out-of-network pharmacy.
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We have free interpreter services available to answer any questions you may have about the plan.
View information on multi-language interpreter services.