Prescription Drug Benefits - Effective July 1, 2017:
- Mail-order is OPTIONAL - Members can continue to use the Express Scripts mail-order program, but it is NO LONGER MANDATORY
- You can fill a 90 day prescription at certain retail pharmacies – after July 1, register as a member on the Anthem website to find the listing of pharmacies that are included in this program. To name a few: CVS, Giant Eagle, Rite Aid and Walgreens participate.
- New Specialty Drug Copay – Prescription drugs that are categorized as “specialty” drugs on Anthem’s formulary will have a $100 copay for a 30-day supply.
- Copay Amounts Are Changing - Avoid surprises at the pharmacy by checking your drug on the Anthem website – you can find out the tier (generic, preferred, non-preferred or specialty) and whether the drug is subject to a drug management program (prior authorization, step therapy, or quantity limits) BEFORE you pick up your drug.
Always remember, when it comes to prescription drugs: ASK QUESTIONS!
Refer to the detailed Rx communication emailed to you with instructions on finding your drug details!
Please Note: This is informational in nature. It is not medical advice. You should contact your physician with any questions.