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Members include those who have Express Scripts prescription benefits through their employer or health plan or directly through Medicare Part D.
Depending on your plan, you may have access to an Express Scripts prescription ID card. Or you may have one ID card for both your medical and prescription medication benefits.
You may have received a welcome email or letter telling you about your new prescription benefit services.
Skip the trip to the pharmacy. You could save time and money by getting a 3-month supply of your medication delivered right to your door. Don’t wait in line once a month to get your prescriptions.
If your plan offers home delivery, getting started is easy. We just need your prescription.
For new prescriptions, you have three options:
- Ask your doctor to send a 3-month supply of your prescription electronically to Express Scripts® Pharmacy. (This is the fastest way to get your medication.)
- Log in to your Express Scripts account and click the “Request an Rx” button on the right side of the home page.
- Call the number on your prescription ID card and ask us to contact your doctor for you.
For current prescriptions:
After you register or log in to your account, you may see existing prescriptions in “My Medications” that are eligible for home delivery. We’ll also alert you if there are money-saving recommendations for your prescriptions, including switching to home delivery.
If you have refills available, simply click to add them to your cart and place your order. We’ll contact your doctor and take care of the rest. We suggest letting them know we’ll be reaching out, so they’re prepared with your information.
We can help you search for nearby pharmacies in your prescription plan’s network with our Find a Pharmacy tool. Just like not all doctors are covered by your health insurance, not all pharmacies are covered by your pharmacy benefits.
If the tool is available through your plan, you can log in and go to Find a Pharmacy under Prescriptions in the main menu. You can search for nearby network pharmacies by ZIP code or city and state. You can also find a list of the services available at each pharmacy.
It’s easy to get a refill from Express Scripts Pharmacy. Just log in to your account and go to Refill Prescriptions under Prescriptions in the main menu. Choose your available medication and place your order. You can also order refills through the Express Scripts® mobile app. Refills usually arrive 5 to 8 days after we receive your order.
Want to get updates about your orders by text so you never miss a refill? Log in and go to Communication Preferences under Account and select text as your preferred communication method.
As part of Evernorth Health Services®, a health services organization designed to make the system and people better, Express Scripts is Evernorth’s pharmacy benefit manager (PBM). This means we manage all your pharmacy benefit services for your plan provider.
If you are an Express Scripts member, we’ll help you get the right medication from recommended pharmacies in your plan, so you can stress less and save more on your prescription medications. Check out this short video to learn more.
By creating an Express Scripts account, you could get access to personalized savings recommendations that take the guesswork out of your prescription benefit. You can access your account online anytime or use our highly rated mobile app to manage your prescriptions on the go. If included in your plan, we also offer convenient home delivery of your long-term medications through our online pharmacy.
You can depend on us for simpler, more affordable pharmacy care 24/7. Learn more about your benefits.
A coverage review (also called prior authorization) simply means that more information is needed to see if your plan covers a medication. This review makes sure you’re getting a medication that is prescribed for its intended use and covered by your pharmacy benefit.
Express Scripts works with doctors and pharmacists to determine which newly approved and existing medications are effective. Your plan uses this information to determine which medications are covered.
After Express Scripts receives a prior authorization request, then a review begins. Only your doctor can provide the necessary information for a coverage review. The review can be approved, denied or withdrawn.
You can check the status of a coverage review by logging in and going to Prior Authorizations under Prescriptions.
To help avoid a coverage review, ask your doctor if they’re connected to Real-Time Prescription Benefit; so they can check if your medication is covered by your plan before you try to fill it. You can also use your online account or our mobile app to check pricing and coverage.
At Express Scripts by Evernorth®, we help you get the right medication at the right pharmacy for the lowest possible price, depending on your plan. The best way to make sure you’re getting the most out of your prescription benefit is by creating your Express Scripts online account. If you haven’t already, click the Register button at the top of the page to get started.
Once you create an online account, you can:
- Sign up for text alerts so that you never miss an opportunity to save
- Get transparent pricing on all your medications
- Take action on your personalized savings recommendations
- Transfer medications to our home delivery pharmacy
- Easily refill prescriptions and track your orders in real-time
- And so much more!
Some of these features may depend on your plan.
Check out this short video to learn more about what we’re doing as your pharmacy benefit manager (PBM) to help make sure you don’t pay more than necessary on your prescriptions.
We’re here to help you get the right medication and days’ supply through the right pharmacy for your plan.
After you register or login, we’ll give you personalized money-saving recommendations based on your plan. You could save an average of 32% by taking advantage of everything your plan has to offer.
We also have an easy-to-use Price a Medication tool to compare pricing and coverage information. If the tool is available through your plan, you can log in and go to Price a Medication under Prescriptions in the main menu. Just select a member of your plan, enter the medication name, and search. Depending on your plan, we can also use your ZIP code to find nearby network pharmacies.
The results will tell you whether the medication is covered and give you pricing information.
If you’re getting a new prescription, before your doctor prescribes a medication, ask if they’re connected to Real-Time Prescription Benefit so they can check for the most affordable pricing and help avoid a coverage review. You can also use your online account or our mobile app to check pricing and coverage.
If it’s included in your plan, you can check if your long-term medications are available through convenient home delivery. For a medication to be eligible for delivery, you must have a prescription written for a 3-month supply. The actual quantity or days' supply you receive depends on your plan's rules.
With home delivery, you could pay less for a 3-month supply, compared to three 1-month supplies at a retail pharmacy. A 3-month supply also means you’re less likely to miss a dose, which can help you stay on track with your health.
Depending on your plan, delivery may not be available or may not be the best option for short-term or temporary medications. There are also limits on delivery for controlled substances like opioid medications.
Yes, automatic refills are available for eligible long-term medications.
There are a couple of ways to get started with automatic refills:
Online
- Go to the Prescriptions menu.
- Choose Automatic Refills. You'll be taken to the Automatic Refills page.
- Select the Manage Prescriptions tab.
- Find the medications(s) you want to enroll.
- Choose Start Automatic Refills.
Or, when you're placing an order and have medications in your cart, you'll see a checkbox next to the names of medications you can enroll in automatic refills.
Once you’ve signed up a medication for automatic refills, we’ll reach out when it’s time for a refill or renewal. Then, if needed, you can change the refill processing date to fit your schedule. You can choose your preferred communication method, including texts, by logging in and going to Communication Preferences under Account.
By phone
Call the number on your prescription ID card to ask about automatic refills.
A pharmacy benefit manager (PBM) is an organization that manages the pharmacy portion of your health plan coverage to help medication safer and more affordable. Just like your health plan covers your doctor visit; your pharmacy benefits or prescription plan cover the medication your doctor prescribes. Through your pharmacy benefits, you have access to a network of covered pharmacies and medications.
As your PBM, Express Scripts by Evernorth® works with your plan provider to help you stress less and save more on your prescription medications.
As your pharmacy benefit manager (PBM), Express Scripts is here to help you stress less and save more. Even before your plan has started, we’ll provide you with the information you need to get the most out of your pharmacy benefit. We’ll send a welcome message with easy-to-follow instructions for setting up your online account.
Once your plan is active, we’ll reach out to you with recommendations on how you could save on your prescriptions or how to use your benefit plan. You can choose how you want to be contacted. Log in and go to Communication Preferences under Account to select your preferred communication method like texts or emails.
We want to make sure you get the safest, most effective medication available. That means your prescription may require a review before it is covered by your plan. During the review, your doctor can provide us with more detailed information about your prescription so we can make sure its use falls within your plan’s rules. These rules are based on the product information approved by the Food and Drug Administration (FDA) as well as published clinical trials and guidelines.
Your medication may also need a coverage review if it is a:
- Prescription used outside of the specific, approved medical conditions
- Prescription that could be used for non-medical purposes
To help avoid a coverage review, ask your doctor if they’re connected to Real-Time Prescription Benefit so they can check if your medication is covered by your plan before you try to fill it. You can also use your online account or our mobile app to check pricing and coverage.
You can check the status of a coverage review by logging in and going to Prior Authorizations under Prescriptions.
Depending on your plan, you could use our Price a Medication or Check Coverage tools to compare prices and make sure your medication is covered. If either tool is available through your plan, you can log in and select the tool from the dropdown menu under Prescriptions in the main menu.
We offer a can’t-lose-it digital ID card that you can keep with you 24/7. Just download it to your phone, print a copy or do both. You can even save it to your mobile wallet.
How to get your digital prescription ID card:
Online
Depending on your plan, you can log in and select Prescription ID Card under Account in the main menu. If it's available, you can print your prescription ID card from there. Just click on the Download Card button to download and/or print your prescription ID Card.
On the Express Scripts® mobile app
Tap the menu icon on the top-left corner of your screen. Go to My Account and choose Prescription ID Card. You can use the mobile app to show your prescription ID number at your pharmacy or doctor's office.
If your plan provides a choice of pharmacies, then you can decide how you want to get your medications. If the Find a Pharmacy tool is available through your plan, you can log in and go to Find a Pharmacy under Prescriptions in the main menu. You can search for nearby network pharmacies by ZIP code or city and state. You can also find a list of the services available at each pharmacy.
Short-term medications like antibiotics can be filled at a network pharmacy.
Long-term medications or medications you take regularly can be filled at a network pharmacy or if included in your plan, from Express Scripts Pharmacy by Evernorth®.
Here's what you'd get with each choice:
Pick up from a local retail pharmacy
- Get up to a 3-month supply of your medication with each refill
- Choice of network pharmacies that work best for you
- Transfer your prescription in-store, by phone or online
- Access to plan-covered services like vaccines and at-home COVID-19 tests if included in your plan
Delivery from Express Scripts Pharmacy
- Get up to a 3-month supply of your medication with each refill
- Free standard shipping is included in your plan
- Transfer prescriptions easily online, by phone or via Express Scripts® mobile app
- Auto-refills and refill reminders, if available
- Pharmacists available by phone 24/7
To keep patients safe and help control healthcare costs, early refills of medication are usually not allowed. Standard refill policies allow you to refill or renew a prescription medication when there should be 25% to 35% of your current prescription left. These policies are designed to help you get the medication you need on time.
If you currently fill 1-month supplies of your medication at a retail pharmacy and would like a longer-term supply, you can ask your doctor to send a 3-month supply of your prescription electronically to Express Scripts Pharmacy by Evernorth®.
You can also enroll in automatic refills for eligible long-term medications. Once you’ve signed up a medication for automatic refills, we’ll reach out when it’s time for a refill or renewal. Then, if needed, you can change the refill processing date to fit your schedule.
To make it easier to track your refills, you can get updates about your orders by text. Log in and go to Communication Preferences under Account and select text as your preferred communication method.
If there is an urgent issue or if you have questions or concerns, we are available 24/7. Just call the number on your prescription ID card.
It’s very safe. We maintain rigorous safety standards for the inventory in our pharmacies, and only dispense medications that are approved by the Food and Drug Administration (FDA).
Millions of people have their medications delivered every day. We make sure packaging is confidential, tamper evident and weather resistant. If your medication requires specific temperature control, we use special packaging and coolant packs, adjusting for the weather forecast and climate.
Express Scripts Pharmacy is a home delivery pharmacy operated by Evernorth, just like Express Scripts is a pharmacy benefit manager operated by Evernorth. Since 1987, millions of patients have trusted Express Scripts Pharmacy with their prescription medications.
Express Scripts Pharmacy offers the same support and safety as a retail pharmacy, while also giving you the convenience and potential savings of home delivery.
If part of your plan, Express Scripts Pharmacy by Evernorth® will deliver up to 3-month supplies of medication you take regularly right to your home. We handle millions of prescriptions each year through home delivery, and by using Express Scripts Pharmacy, you could save 32% on your prescriptions compared to retail pharmacies.
With Express Scripts Pharmacy, you get:
- Simple, stress-free ordering and automatic refills for eligible medications
- Free standard shipping and flexible payment options
- True 24/7 support, including access to pharmacists trained in specific conditions like diabetes and heart disease
- An Express Scripts account offering real-time tracking for your home delivery orders
Learn more about how home delivery works.
If a coverage review is required, your pharmacy will receive an alert. This means that more information is needed from your doctor to see if your plan covers the medication.
Ask your doctor to either call Express Scripts to request a coverage review or to prescribe an alternative medication that’s covered by your plan. After Express Scripts receives a prior authorization request, then a review begins. Only your doctor can provide the necessary information for a coverage review.
You can track the status of your coverage review and get helpful information about the process online or through our mobile app. Log in and go to Prior Authorizations under Prescriptions.
If you receive coverage approval, your prescription will be filled like normal. If coverage is not approved and you don’t want an alternative medication, you have the option to pay full price for the prescription.
To help avoid a coverage review, ask your doctor if they’re connected to Real-Time Prescription Benefit so they can check if your medication is covered by your plan before you try to fill it. You can also use your online account or our mobile app to check pricing and coverage.
If your home delivery medication cost more than the estimated price, it could be because:
- An outstanding balance was added to your total
- Pricing wasn’t available when you ordered
- Drug manufacturer prices may have changed before your order was shipped
- Your plan’s coverage may have changed
If you use autopay for your home delivery orders, you can choose to set an authorization limit. This limit will be the maximum amount we can charge without contacting you to authorize a payment.
If your medication cost more at a retail pharmacy than you expected:
- Drug manufacturer or pharmacy prices may have changed
- Your plan’s coverage may have changed
- The pharmacy was out of your network
We want to make sure you get the right medication at the lowest price possible for your plan.
Standard shipping is included as part of your plan. You can also choose next-day or two-day shipping for an extra fee when available. We’ll safely ship your medication in tamper-evident and discreet packaging without the pharmacy name. If your medication is sensitive to extreme hot or cold weather, we ship it in a temperature-controlled package.
We ensure efficient and reliable delivery by working with all major carriers, and we’re in constant contact with these carriers, so we know immediately if there is a need to adjust for a potential weather disruption or other local and regional issues.
If you couldn’t use your prescription ID card when paying for a prescription, you may have paid more than you need to for your medication. If your plan allows, you can submit a claim to be reimbursed for the medication. Your plan will consider your claim, based on its specific rules. For example, your plan's rules for covering the cost of the medication might be different if the pharmacy is not in your network.
You may be able to submit a Prescription Drug Reimbursement Form if you paid full price for medication at a pharmacy because:
- The pharmacy did not accept your prescription ID card by mistake.
- Your plan requires you to submit a claim form for all medication you buy at a local pharmacy.
- You had to buy medication at a pharmacy outside your network (for example, if you need to fill a new prescription while you're on a trip).
- You hadn’t yet received your prescription ID card.
- Please note that once you register for an Express Scripts account, you can access your digital ID card 24/7 and keep a copy on your mobile device.
We want to make sure you always have the plan information you need. That’s why we send a welcome communication to show you how to access to your digital prescription ID 24/7. We also recommend using your Express Scripts account or talking to your doctor to make sure a pharmacy is in your network before you try to fill a prescription there. Most plans have access to thousands of network pharmacies across the country.
If you fill a prescription through home delivery by Express Scripts Pharmacy by Evernorth® you can pay by:
- Checking account
- Credit card
- Debit card
- PayPal
- Extended Payment Plan
You can also set up Autopay, which will make an automatic payment each time a prescription ships. To help you manage your budget, you can even set a maximum amount that can be charged to your account or card. If a payment is over that amount, we will check with you before processing the payment.
We work directly with FDA-approved pharmaceutical manufacturers just like other major pharmacies. The medications are stored in one of our home delivery pharmacies across the country. When you place your order, we choose one of our pharmacy facilities to fill your prescription depending on the medication and delivery location.
Whether you have a prescription ID card or a combined card for your medical and pharmacy benefits, your ID number can be used to log into your online Express Scripts account.
If you get your prescriptions through a retail pharmacy, you may need to show the pharmacist your prescription ID card to use your plan’s coverage.
If you ordered a prescription through home delivery and a coverage review is needed, Express Scripts Pharmacy will try to contact your doctor.
To save time, you may want to let your doctor know that Express Scripts will be contacting them. If your doctor thinks you need this specific medication for your condition, they can contact Express Scripts to request a coverage review.
You can track the status of your coverage review and get helpful information about the process online or through our mobile app. Log in and go to Prior Authorizations under Prescriptions.
To help avoid a coverage review, ask your doctor if they’re connected to Real-Time Prescription Benefit so they can check if your medication is covered by your plan before you try to fill it. You can also use your online account or our mobile app to check pricing and coverage.
We ship your medication in a tamper-evident, weather-resistant package. If your medication is sensitive to extreme hot or cold weather, we ship it in a temperature-controlled package. We carefully calculate how long your order will travel and the weather conditions to make sure that we include enough ice packs to keep your medication safe.
Medications that require temperature control are sent via expedited shipping at no extra cost to you.
Yes. With our Extended Payment Plan, you can split the total cost for eligible prescriptions into equal credit or debit card payments over three months (with no service fee). Your first payment will be processed when your medication ships.
We want to help you avoid paying more than you need to for your medication. With an Express Scripts account, you’ll get access to proactive, personalized savings recommendations based on your plan.
Yes. Since coverage can vary depending on your specific plan, you’ll need an account to discover everything your benefits have to offer. With an online account, all your pharmacy benefits will be right within reach.
By creating an Express Scripts account, you get access to proactive, personalized savings recommendations that take the guesswork out of your benefits. You can access your account online anytime or you can use our highly rated mobile app to manage your prescriptions.
It’s easy to set up your account. If you haven’t already, click the Register button at the top of the page to get started.
If you are an Express Scripts member, you may be able to get specialty medications through Accredo, Evernorth’s full-service specialty pharmacy.
Accredo serves patients with complex and chronic health conditions, including cancer, hepatitis C, HIV, bleeding disorders and multiple sclerosis. Our specialty-trained pharmacists, nurses and clinicians work together to provide personalized care.
Through Accredo’s 15 condition-specific Therapeutic Resource Centers (TRCs), we provide patients with the resources they need to manage their condition, including:
- Access to specialty-trained pharmacists on the phone
- Access to specialty-trained infusion nurses that meet patients face-to-face in their homes
- Nutrition support for oncology patients
- Therapy management programs to protect patient health and safety
- Complete coordination of care among the medical benefit, pharmacy benefit and doctors
- Safe, prompt delivery of medications, including training on administration of the medication
If you go to an out-of-network pharmacy, you may end up paying more or the full cost for your medication. Your plan may offer reimbursement if you had to buy medication at a pharmacy outside your network (for example, if you need to fill a new prescription while you're on a trip).
To avoid paying more than you have to for medication, we can help you find a convenient network pharmacy. We recommend using your Express Scripts account or talking to your doctor to make sure a pharmacy is in your network before you try to fill a prescription there. Most plans have access to thousands of network pharmacies across the country.
We’ll also alert you if you could save with a preferred pharmacy according to your plan.
Nearly all coverage reviews are completed within two days of us receiving complete information from your doctor. Many are completed even sooner. Doctors using electronic prior authorization systems can receive coverage determinations within minutes.
You won’t be charged for your order until your medication is shipped. If you are enrolled in our Extended Payment Plan, only the first payment will be processed when your medication ships.
To check the status of your order, you can log in and go to My Medications under Prescriptions. After you log in, you can also check if there are any ways you could save on your medications.
We only dispense medications that are approved by the Food and Drug Administration (FDA). All medications approved for use in the U.S. must comply with FDA manufacturing standards to assure quality and product label requirements. The FDA has staff to oversee drug manufacturing in overseas regions (including China, India, Europe and Latin America) to expand oversight of imported medical products.
Some of the most common vaccinations like flu and COVID-19 vaccines may be covered through your prescription plan. Log in to check your plan’s coverage of vaccines.
If vaccines are covered, you and those covered by your plan can go to a local participating pharmacy to get vaccinated. Please note, every state has specific regulations regarding age restrictions, which vaccines can be administered by a certified pharmacist and if a prescription is required.
Yes, the Express Scripts® mobile app lets you manage your prescription plan anytime, anywhere. You can download the Express Scripts mobile app for free from your device's app store.
With the app, you can:
- Access your prescription ID card 24/7. You can download it to your phone, save it to your digital wallet or print a copy.
- Track home delivery orders, make payments and check your order status.
- Find money-saving recommendations to help you get the most out of your pharmacy benefit.
- Check your coverage during a visit with your doctor to make sure you’re getting a medication that works for you and your plan.
- View your prescription claims history all in one spot.
- And so much more!
Some of these features may depend on your plan.
Creating an online Express Scripts account is simple. In just a couple minutes, your account can be ready to go. To register, you can use your prescription ID or your social security number.
Once you create an online account, you can:
- Sign up for text alerts so that you never miss an opportunity to save
- Get transparent pricing on all your medications
- Receive personalized savings recommendations that take the guesswork out of your prescription benefit
- Transfer medications to our home delivery pharmacy
- Easily refill prescriptions and track your orders in real time
- And so much more!
Some of these features may depend on your plan.
If your prescription requires a coverage review but you need your medication quickly, you can:
- Talk with your pharmacist about filling a small supply of your prescription right away. You may have to pay full price for this medication.
- Ask your doctor to contact Express Scripts to request a coverage review. Only your doctor (or in some cases, your pharmacist) can provide the information needed. If your doctor feels the situation is urgent, faster processing can be requested.
- Ask your doctor about prescribing a covered alternative medication.
- You can fill the original prescription at full price.
To help avoid a coverage review, ask your doctor if they’re connected to Real-Time Prescription Benefit so they can check if your medication is covered by your plan before you try to fill it. You can also use your online account or our mobile app to check pricing and coverage.
After we receive your prescription for a new order from your doctor, your medication usually arrives within 7 to 10 days. It may take longer if Express Scripts Pharmacy needs additional information from your doctor or if your medication is temporarily unavailable. We will keep you informed on your order status.
While you’re with your doctor and before they prescribe your medication, ask your doctor if they’re connected to Real-Time Prescription Benefit so they can check if your medication is covered. This could help avoid a coverage review (also known as prior authorization), which could cause a delay to get your medication. If your doctor does not use Real-Time Prescription Benefit, you can use your Express Scripts account online or through our mobile app to check for coverage.
Once a prescription is sent by your doctor, if there are delays to your order, we’ll notify you and let you know if any action is needed. You can also track the progress of your order online or through the Express Scripts® mobile app.
The first order of any prescription may take longer to process, but the following refills will be quicker. Standard shipping is free, but you can get it expedited for a fee.
If your plan offers coverage, you can order at-home COVID-19 tests from Express Scripts Pharmacy by Evernorth® or a participating network pharmacy. Log in to check your plan’s coverage and copay information.
Go to our COVID-19 Resource Center for answers to common questions about at-home test, vaccines and treatment options.
Yes, the Express Scripts® mobile app lets you manage your prescription plan anytime, anywhere. You can download the Express Scripts mobile app for free from your device's app store.
With the app, you can:
- Access your prescription ID card 24/7. You can download it to your phone, save it to your digital wallet or print a copy.
- Track home delivery orders, make payments and check your order status.
- Find money saving recommendations to help you get the most out of your pharmacy benefit.
- Check your coverage during a visit with your doctor to make sure you’re getting a medication that works for you and your plan.
- View your prescription claims history all in one spot.
- And so much more!
Some of these features may depend on your plan.
If you don’t receive a coverage approval, you can:
- Talk to your doctor about getting an alternative medication that is covered by your plan. Before prescribing a medication, your doctor can use Real-Time Prescription Benefit to check if a medication is covered and help avoid a coverage review.
- You can file an appeal to have your medication covered. Your appeal rights and the process for filing an appeal will be explained in the coverage review denial letter or communication. You can call the number on your prescription ID card if you need help or more information.
- You can get the original prescription filled at your pharmacy by paying the full price.
To review your claims, log in and go to Claims History under Prescriptions in the main menu.
You can filter claim information by date range or by the persons covered under your plan.
Our easy-to-understand Prescription Claims History shows your total number of claims, the total amount your plan paid, and the total amount you paid out of pocket. You can also review details for individual claims.
You can download and print your claims history for your records or to share with your doctor. You can also use this information for tax preparation purposes.
Yes. Our pharmacists are available by phone 24/7 to answer questions about your medication.
We also have specially trained pharmacists focused on medical conditions such as:
- Diabetes
- Immunology
- Cardiovascular conditions (heart disease, high blood pressure, high cholesterol)
- Pulmonary conditions (asthma, COPD)
- Neuroscience conditions (migraine, depression, anxiety)
- Women’s health conditions (hormone therapy, contraceptives)
Express Scripts Pharmacy is available to those with pharmacy benefits from Express Scripts or other participating pharmacy benefit managers.
If you’re unsure if you’re eligible, you can register online to find out. It only takes a minute or two.
Glucagon-like peptide-1 receptor agonists (GLP-1s) or semaglutide are usually prescribed for diabetes and obesity and may be covered by your plan. GLP-1s and medications with the active ingredient semaglutide are a class of medications that mimic a hormone released in the intestines after a meal. Its effect impacts feelings of fullness and appetite.
Use your Express Scripts online account to see if these medications are covered by your plan.
You may need a new coverage review (prior authorization) because your previous approval expired, or your plan may have changed. To determine if a medication qualifies for ongoing coverage, we need to make sure we have up-to-date information.
If you are still taking this medication, ask your doctor to contact Express Scripts and provide the information needed for a coverage review. We will contact you and your doctor when the coverage review is complete.
If coverage is approved before the expiration date, your plan will continue to cover this medication without interruption. If coverage is not approved, you will be responsible for the full cost of the medication if you continue to fill it. You can also talk to your doctor about alternative medications that may be covered by your plan.
It’s easy to access your claims history with an Express Scripts online account. After you log in, go to Claims History under Prescriptions in the main menu. You can download your annual prescription spending for your tax reporting needs. We may also send an email during tax filing season with important information.
For the most part, yes! Express Scripts Pharmacy dispenses most brand and generic maintenance medications in a 3-month supply. However, just like other pharmacies, we are unable to stock all medications all the time.
If we don’t carry a certain medication, are running low on supply or are out-of-stock, we will let you know as soon as your order is placed. Additionally, your doctor may be able to check availability through Real Time Prescription Benefit when prescribing, and if your medication is not available at home delivery, they can send the prescription to a network retail pharmacy of your choice.
For more information about your prescription plan or to manage your plan online, please visit militaryrx.express-scripts.com.
Glucagon-like peptide-1 receptor agonists (GLP-1s) are a class of medications that mimic a hormone released in the intestines after a meal. Its effect impacts feelings of fullness and appetite.
Driven by diabetes and obesity usage, GLP-1s are in high demand across the nation.
Subsequently, the U.S. Food and Drug Administration (FDA) has reported a shortage of GLP-1s ─ or medications containing semaglutide ─ in their Current Drug Shortages database.
Express Scripts does not have access to inventory data for network pharmacies. We recommend contacting your local retail pharmacy to ask whether they have any medication in stock.
You can access claims history and copay information using your Express Scripts online account. After you log in, go to Claims History under Prescriptions in the main menu. The claims history page allows you to view your out-of-pocket prescription expenses by date range (either the last 6, 12, 18 or 24 months).
Due to market demand, Express Scripts Pharmacy is not currently accepting new patients at home delivery for these medications.
If you were recently prescribed a GLP-1 and your prescription was already sent to Express Scripts Pharmacy, the fastest way to receive your medication is to contact your doctor and ask them to send it to a network retail pharmacy of your choice. You can also ask your retail pharmacy to contact us to transfer the prescription.
If you receive a new prescription for a GLP-1, please ask your doctor to submit the prescription to a network retail pharmacy. If you’re already receiving a 3-month supply of GLP-1 medication through Express Scripts Pharmacy, you will be able to keep filling your medication through our pharmacy.
TRICARE beneficiaries, please find more information here.
Express Scripts Pharmacy does not have a way to accept manufacturer coupons and discount cards, which are commonly available at retail pharmacies for brand medications. For generic medications, coupons and discounts aren’t typically available.
We recommend checking the price of your medication through our Price a Medication tool, if it’s available through your plan. This will allow you to compare how much a specific medication would cost at both home delivery and retail pharmacies. If a manufacturer coupon or discount card is available for your brand medication, you may be able to access the discount at a network retail pharmacy.
Two-step verification keeps your Express Scripts account safe by adding more security. When you log in to your account, you’ll need your username, password, and a single-use code that we’ll send to your registered email or mobile phone number.
Setup is simple. We’ll send a confirmation code to the email registered to your account.
Follow these steps:
- Enter your username and password (or log in with your single sign-on connection or biometrics).
- We’ll send a single-use code to your registered email.
- Enter the code and access your account.
Once you've accessed your account, you can choose to add text messages as an option for two-step verification. Go to Two-Step Verification under Account to set this up.
Our pharmacists are available around the clock, with no voicemails or callbacks, so you can have an unrushed conversation from the privacy of your own home, whenever you need it.
Simply contact Express Scripts® Pharmacy using the toll-free number on the back of your member ID card or call (800) 282-2881.
Two-step verification is required to log into express-scripts.com, militaryrx.com, and the Express Scripts® mobile app. It adds an extra layer of security to protect personal and health-related data from unauthorized access. We added this feature to keep your account safe. Many companies, including healthcare and banking organizations, use processes like this to protect your personal information.
After setup, you can change the email address that we send the code to at any time. Log in and go to Two-Step Verification under Account to change your email address. If you can’t access your registered email for the initial setup, please call us at (800) 711-5672. We can change your email address if you no longer have access.
No, you are not required to get a Medicare Part D plan. These Medicare plans for prescription coverage help pay for medications you need. It's optional and offered to everyone with Medicare.
However, even if you don’t take prescription medications now, you may want to consider getting Medicare prescription coverage. If you choose not to get it when you’re first eligible, and if you don’t have other prescription coverage (like from an employer or union), you may have to pay a late enrollment penalty if you join a plan later.
Online
If you are already registered on our website, follow these steps:
- Log into your account
- Go to Help in the main menu and choose FAQs & Contact Us
If you can’t find the answer to your questions in the FAQs, click the link to Contact Us. Use one of the available options to contact a member services representative. We offer direct phone numbers for your plan and plan-specific information after you log in.
By phone
For general questions, please call our Patient Customer Service at the number on your member ID card or call (800) 282-2881.
For technical support or assistance with your online account, please call (800) 711-5672.
Read about your Medicare prescription coverage rights.
Two-step verification via text message is now available. Currently, you are still required to use your registered email to set up two-step verification the first time. After this initial setup, you can choose to add text messages as a two-step verification method, and then you’ll be able to choose which contact method you want to use during each login.
Entering a new code each time during login helps us to make sure someone is not trying to access your account without your consent.
If you are using a trusted device (like a personal computer or smart phone), you can verify your device and browser for six months. This way, you won’t have to enter a code each time you log in. To verify your device, select the checkbox "Remember my login information" on the screen where you enter your username and password.
If you use a different device or browser, you’ll have to verify again.
Please note that the "Remember my login information" option is not currently available for single sign-on (SSO) or mobile app users, but we are working to add this feature as soon as possible.
Yes, you can call the number on your prescription ID card to request pill bottles with easy to open lids.
Each time you restart the login process or request a new code, all previous codes become invalid. To make sure that you’re entering the most recent code, try these steps:
- Delete all previous emails or texts you’ve received from Express Scripts that contain a code for two-step verification.
- Wait 15 minutes.
- Click “Send a new code” or begin the login process again to get a new code.
For your single-use code to work, you must keep the two-step verification page open on your browser. If you leave the page and then log in again, you will need a new code.
To help keep your account secure, your single-use code will expire after a specific amount of time. Your code will expire after 15 minutes if it was sent via email or 5 minutes if it was sent via text message. This is to make it harder for an unauthorized user to access your account without your consent.
First, make sure you are only entering the most recent code that was sent. Each time you restart the login process or request a new code, all previous codes become invalid.
If your code is still arriving too late, please call our web support team at (800) 711-5672 for help.
Yes, you can call call the number on your prescription ID card to request large print or braille pill bottle labels.
Express Scripts® Pharmacy also works with En-Vision America to offer ScriptTalk, a “talking pill bottle”. This audio prescription label reading device is available for free. Call En-Vision America at (855) 752-6605 to enroll. En-Vision America is open Monday through Friday, 9 a.m. - 5:30 p.m. ET.
If you requested a code via email:
- Check to see if the email containing your code was sent to your Spam or Trash folders.
- If you still don't see the email, try waiting for a few minutes. Some email providers take longer than others to process emails that are sent to them.
- Click the "Send a new code" link on the code entry screens to get a new code.
- Finally, if you still haven't received your code, please call our web support team at (800) 711-5672 to use an alternative email address to verify your account.
If you requested a code via text:
- If you don’t receive a code, try clicking the “Send a new code” link on the code entry screen.
- If you still haven’t received your code, you can request that the code be sent via email instead. Once you have logged in, check to make sure your phone number is correct by going to Two-Step Verification under Account.
You can always reach a live person to help you at Express Scripts® Pharmacy — a patient care advocate or a pharmacist — 24 hours a day, 7 days a week. Contact Express Scripts® Pharmacy using the toll-free number on the back of your member ID card or call (800) 282-2881.
For technical support or assistance with your online account, please call (800) 711-5672.
If you need help or have a question that isn’t answered on this page, please call our web support team at (800) 711-5672.
The amount of medicine you use during a 1-month period. In most cases, your doctor will prescribe a 1-month supply or less for short-term medicine.
The amount of long-term medicine you use during a 3-month period. In most cases, prescriptions for long-term medicine are written for a 3-month supply. The actual quantity or days' supply you receive depends on your plan’s rules.
A term used to refer to the services covered by your health insurance. Express Scripts manages your “pharmacy benefit” for your employer, your health plan, or your plan sponsor.
Medicine that is sold by a company under a specific name or trademark and is protected by a patent.
A paid or unpaid person who helps with any needs required by someone who can’t meet his/her own needs. This covers a broad spectrum of needs, ranging from daily living tasks (eating, bathing, dressing) to helping with tasks on an as-needed basis (such as running errands). If you want a caregiver to be able to manage your medicines and your Express Scripts online account, you must make him or her a “designated caregiver” using the Add a Caregiver page in the Accounts menu. If you are a caregiver and hold a person’s power of attorney (POA), your client still must designate you as a caregiver using the Add a Caregiver page in the Accounts menu.
A request for payment submitted to your health insurance by you or by your healthcare provider. This request is for any services you think might be covered by your plan.
The partial cost you pay for your medicine, each time you fill a prescription. The amount you pay is set by your plan and is a percentage of the total cost.
Example
- The price of your medicine is $100.
- Your coinsurance is 20%.
- You pay $20 for the medicine.
Your coinsurance is different from your copayment, or copay.
Medicine with different ingredients combined together in order to tailor it for individual needs. Once mixed together, compound drugs are not FDA-approved.
The number we apply to every order that you place. This number helps us find your order in our system if you need to ask us about your order.
A term used only for medicines or illegal drugs that have a high risk for causing harm. It means the medicine requires a doctor’s prescription and that its use is restricted by law (the Controlled Substances Act). The term covers medicines, such as opioid drugs. It does not apply to tobacco or alcohol.
If you are covered by two or more health plans, this process decides the amount each plan pays for a claim.
A set dollar amount you pay out of your own pocket for your medicine. Your copay is set by your plan.
Your copay is different from your coinsurance.
If you take a medicine to treat a long-term condition (one that lasts 3 months or longer), then your prescription plan might use certain rules that affect the price of your medicine and the way you get it. A “courtesy fill” is the number of fills and refills you can order, before these rules fully take effect.
These rules include factors such as the medicine type, form, amount you get, what pharmacy or pharmacy network you use, and others. After you’ve used your “courtesy fills” limit, you’ll need to follow your plan’s rules for getting your medicine in order to avoid paying a higher price for it.
See Prior Authorization (PA).
The number of days’ worth of medicine your doctor prescribes for you. There are limits for the maximum number of days, based on the type of medicine, why you’re taking it, and your prescription plan’s rules.
- If your plan includes delivery of long-term medicines, your doctor will prescribe the maximum days’ supply allowed by your plan.
- If your plan includes the option to fill certain long-term medicine through local network pharmacies, you can check coverage and pricing using our Price a Medication tool, and we’ll set your days’ supply to the maximum allowed by your plan.
The total amount you must pay before your plan starts paying for part of your prescription costs. This amount varies by plan.
This is a process doctors can use to send a prescription to a pharmacy using a secure computer network.
This lets you pay for your delivery prescriptions in three monthly payments (installments), instead of paying the full amount all at once. Each monthly payment is automatically processed using your preferred payment method.
Example: you order a prescription that costs $90 and your preferred payment method is a credit card. Under the EPP, you would make 3 monthly payments as follows:
- First payment: As soon as your prescription ships, we’ll charge your card $30.
- Second payment: 30 days after your prescription ships, we’ll charge your card another $30.
- Third payment: 60 days after your prescription ships, we’ll charge your card the final payment of $30.
An account set up through your employer that you can use to pay for certain out-of-pocket medical costs with tax-free dollars. You decide how much money to put in your FSA, up to a limit set by your employer. Your employer also can put money in the account. You don't pay taxes on this money. You can use your FSA to pay for healthcare costs, such as insurance copays and deductibles.
A prescription or over-the-counter (OTC) medicine that has the same active ingredient as a brand-name version that’s on the market. Generic drugs often are a lower-cost option to their brand-name versions. They can be identical to the brand-name drug or a:
- generic equivalent: it’s similar to the brand-name drug and has the same active ingredient, but has different inactive ingredients.
- generic alternative: it has a different active ingredient from the brand-name drug, but a similar clinical effect on the body.
You can find out more about generic drugs from the US Food and Drug Administration.
A contract that requires your health plan to pay some or all of your healthcare costs in exchange for a fee (this is called a “premium”). Your health insurance is divided into two parts:
- services — this includes things such as doctor appointments, hospital visits, and some medical supplies.
- prescription medicines — this includes your medicine and supplies related to your prescription. Your prescription plan from Express Scripts (also called a “pharmacy benefit”) is the part that covers your prescription medicines and supplies.
A savings account you can set up if you have a high-deductible health plan. An HSA lets you set aside pre-tax money to pay for certain medical costs, such as deductibles, copayments, and coinsurance. You can roll over your unused balance into the next year and change how much you contribute to the account at any point during the year.
An account offered by employers that provides tax-free reimbursement for qualified medical costs up to a fixed dollar amount each year. In many HRA plans, you can roll over your unused amounts from the current year to use in the next year. You might also hear HRAs called Health (or Healthcare) Reimbursement Arrangements.
The number we place on your package when we ship medicine to you. If your order ships in more than one package, then you will have more than one invoice number.
A person with special training about medicines, and licensed to practice by a national and state board. Express Scripts pharmacists are licensed and many have extra training to give advice about medicines to treat:
- Asthma
- Arthritis
- Cancer
- Depression
- Diabetes
- Heart disease
- High blood pressure
- High cholesterol
- Migraine headaches
- Women's health conditions
Any medicine you have to take for three or more months to control symptoms or to prevent complications from a condition. Examples of conditions that might require long-term medicine include: high blood pressure, high cholesterol, diabetes, arthritis, heart conditions, and long-term pain.
Another term for “long-term medicine.”
A unique number the US government assigns to every prescription and over-the-counter (OTC) medicine on the market. The code refers to the strength and dosage form (such as liquid, tablet, capsule, etc.) and to those who make or distribute it. This number is required on the Express Script Prescription Drug Reimbursement / Coordination of Benefits Claim Form.
A formulary is a list of the medicines covered by your health plan. The Express Scripts National Preferred Formulary is the list of medicines we recommend to treat various conditions. Some plans use our NPF, while other plans modify the list of medicines they cover.
Express Scripts revises its NPF every year, based on reviews of research about the medical value of medicines and their costs. The process of reviewing the NPF and making yearly updates is designed to give members access to the most effective medicines at the lowest possible prices. Your doctor always makes the final decision about the best medicine for you.
The amount of medicine you use during a one-month period. In most cases, your doctor will prescribe a one-month supply or less for short-term medicine.
The period of time during which you can enroll in a health insurance plan. This period is set by your plan. You can change your health plan coverage during certain life events, such as getting married, having a baby, or losing other health coverage. These are sometimes called "qualifying events."
The money you pay out of your own pocket for your medicine before your plan covers the rest of the cost.
An organization that manages the pharmacy portion of health plan coverage to make sure the use of medicine is safer and more affordable. Express Scripts is a PBM and a member of the national association of PBMs, the Pharmaceutical Care Management Association.
A group of pharmacies that work together to help keep the cost of your medicine as low as possible. In most cases, you’ll pay less for medicine from an in-network pharmacy than from a pharmacy outside of your network.
A 2-month period of coverage under a group health plan. This 12-month period might not be the same as the calendar year.
A 12-month period of coverage under an individual policy. This 12-month period might not be the same as the calendar year.
The amount you pay for your health insurance coverage, either in a lump sum or through installments.
The written instruction for medicine that a licensed medical professional provides. The abbreviation for prescription is Rx.
Steps taken to prevent illness; for instance, routine check-ups and screenings.
Health services that cover a range of prevention, wellness, and treatment for common conditions and injuries. Primary care providers include general practitioner doctors (GPs), nurses, and physician assistants.
Also known as a “coverage review,” this is a process health plans might use to decide if your prescribed medicine will be covered. Plans use this to help control costs and to ensure the medicine being prescribed is an effective treatment for the condition.
The maximum amount of a medicine a health plan covers during a certain period of time. These limits are set for safety reasons and to help reduce costs. If your doctor prescribes more medicine than your plan allows, the doctor will have to contact the plan to approve the amount.
A written order from your primary care doctor for you to see a specialist or to obtain certain medical services. If you don’t get a referral first, your plan might not pay for the services.
When your doctor writes your prescription, it might include a certain number of refills. This means you can continue to get the medicine refilled until the prescription expires. Once your prescription expires, it requires a renewal before you can get another refill.
After a prescription expires, a doctor needs to renew it. A renewal is a new prescription, even though it might be for the same medicine and the same dose you’ve been taking. Your doctor might want you to schedule an appointment or get some test results, before renewing your prescription. This helps make sure the medicine is still treating your condition as it should. Although many people think of a renewal as just another refill, a renewal is different because it’s a new prescription.
Rx number (prescription number): a unique number given to every prescription. You’ll find the number on the prescription label.
Specialty medicine is used to treat complex and long-term conditions, and usually has to be stored or handled in special ways. People take specialty medicines for conditions, such as multiple sclerosis, rheumatoid arthritis, or hemophilia. If you're taking a specialty medicine, you can find services through our specialty pharmacy Accredo.
A process designed to help control high medicine costs. If your plan applies step therapy to your prescription, it will require that you try a lower-cost medicine that’s proven effective to treat your condition, before it will cover a higher-cost medicine. If the lower-cost medicine does not treat your condition effectively, your plan’s coverage will “step” you to a higher-cost medicine to find a medicine that treats your condition effectively at the lowest possible cost.
The amount of long-term medicine you use during a three-month period. In most cases, prescriptions for long-term medicine are written for a three-month supply. The actual quantity or days' supply you receive depends on your plan's rules.
The total copay amount you spend on prescriptions during a one-year period.
Example:
- Your copay is $7 for a 3-month supply of medicine with delivery from TRICARE Pharmacy Home Delivery.
- You fill this medicine every three months, which is 4 refills per year.
- Your total annual copay is $7 x 4 = $28.
The total amount of a medicine you take in a 24-hour day. You’ll need to know this number in order to get pricing details for your medicine using our Price a Medication tool.
To calculate your total daily dose, multiply the amount of medicine by the number of times you take it every day.
Example
- You take 2 tablets 4 times per day.
- Your total daily dose is 2 x 4 = 8.
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