The Kroger Family of Pharmacies includes Dillons, Fred Meyer, Fry's, Harris Teeter, King Soopers, Mariano's, Metro Market, Pick 'n Save, QFC, Ralphs and Smith's.
4 SERS Express Scripts Prescription Drug Coverage Guide 2021 NON-MEDICARE CO-PAYS Retail (30-day supply) Home Delivery (90-day supply) Generic $7.50 co-pay max. Preferred brand name 25% of cost (min. $100) 25% of cost. The Home Delivery Program through Express Scripts allows members the option to receive a three-month supply of their prescription(s) for the cost of only two months by mail. 2019 Prescription (Rx) Co-Pays Co-pay/ Coinsurance for: Active Members: Participating Retail Pharmacy (up to 30-day supply) Active Members: Home Delivery Pharmacy Services. Express Scripts helps millions of Americans get their medication and save money. We cover your medication just like health insurance covers a doctor’s visit. We're available 24/7 to help you find the pharmacy with the best prices, handle your household medication needs, or get answers about your therapy from our pharmacists. Express Scripts Medicare offers insulin at an affordable and predictable price with our Saver and Choice plans. You will pay $35 or less for select insulin medications from any network pharmacy, in all stages up to the Catastrophic Coverage Stage. View a list of the included drugs. If you receive 'Extra Help,' you do not qualify for this. Express Scripts also disclosed some startling savings from SaveonSP, an offering run by a secretive private company. As I explain below, SaveonSP declares specialty drugs to be “non-essential health benefits” and then extracts funds from manufacturers’ copay programs to pay for the drugs anyway.
Premiums may vary by plan and region.
Other pharmacies are available in our network. Preferred pharmacies agree to charge less for certain prescription drugs. You may use any network pharmacy in your plan, but you will typically pay less when you use a preferred retail pharmacy or preferred home delivery from Express Scripts Pharmacy®.
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.
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.
Express Scripts Copay Accumulator
We have free interpreter services available to answer any questions you may have about the plan. View information on multi-language interpreter services.
Express Scripts Copay For Creon
Express Scripts Medicare (PDP) is a prescription drug plan with a Medicare contract.
Enrollment in Express Scripts Medicare depends on contract renewal.