Your prescription drug plan through Express Scripts offers low co-pays for generic medication, convenient way to get 90-day prescriptions filled, and a specialty pharmacy for some long term health conditions that require special medicines.
90-day Supply at any CVS or Express Scripts Mail Order
Prescriptions are paid by using your Express Scripts card.
Do I still have to use Mail Order?
No. You can fill a 90 day supply at either Express Scripts Mail Order or by using a CVS Pharmacy. Please note, if you fill a medication more than 3 times, you will have to fill the 4th fill at one of these options. If you use a Pharmacy other than Express Scripts or CVS, you will pay $100 of the cost of the medication.
What do I do if I lose my Prescription card?
You can call the Fund Office at 732-417-3900 and we will request a new Express Scripts card for you, or call Express Scripts at 1-800-939-2146 or visit their website at www.express-scripts.com
Is there an Out-of-Pocket Max for prescriptions?
Yes, for Plan Year April 1, 2022 through March 30, 2023, the prescription out-of-pocket maximum is:
$7,150 Individual, or
Once an individual or family has reached their OOP Max, the Fund will pay 100% for all further eligible claims for the duration of the Plan Year.