Express Scripts Copay

Posted : admin On 1/2/2022

Our prescription drug program is administered by Express Scripts. They have a large, nationwide network of retail pharmacies, including Walgreens and local independent pharmacies. The Plan pays benefits when you fill your prescriptions at a network pharmacy or by mail order. Prescriptions for 31 to 90 days can be filled by mail order or at a Walgreens retail pharmacy.

What you pay

Express Scripts Copay

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. For details on what is considered “preventive care,” contact Express Scripts. Retail: 20% of the cost; minimum $5 copay and $40 maximum (up to a 30-day supply) Home delivery: $10 copay (31- to 90-day supply) Preferred Brand Name. Retail: 20% of the cost. Express Scripts Medicare Choice is a 3.5 Star Medicare Part D Plan for Medicare Beneficiaries in Hawaii. According to the Centers for Medicare and Medicaid Services (CMS), this prescription drug plan's quality is Average, and rated it 3.5 out of 5.0 stars. These are the areas of the plan that are important to compare and review.

Preventive Care Medication

Retail: $0 copay

Home delivery: $0 copay

For details on what is considered “preventive care,” contact Express Scripts.

Generic

Retail: 20% of the cost; minimum $5 copay and $40 maximum (up to a 30-day supply)

Home delivery: $10 copay (31- to 90-day supply)

Preferred Brand Name

Retail: 20% of the cost; minimum $15 copay and $40 maximum (up to a 30-day supply)

Home delivery: $30 copay (31- to 90-day supply)

Non-Preferred Brand Name

Retail: 20% of the cost; minimum $30 copay and $40 maximum (up to a 30-day supply)

Home delivery: $50 copay (31- to 90-day supply)

What you need to do

Express Scripts Copay Maximizer

  • Use retail network pharmacies
  • Use mail order or a Walgreens retail pharmacy to fill a 31- to90-day prescription

Express Scripts Copay List

To find a retail network pharmacy, or to get started with home delivery, visit Express Scripts or call 866-830-3890 during business hours.