Your benefit details
Your prescription coverage is through Express Scripts and includes pharmacies like Walgreens and CVS. Your coverage is based on the medical plan you choose. All plans cover 100% of the cost of , which are medications that manage conditions like high blood pressure or cholesterol.
How it works
- 1
Before you get your prescription
Know your network and your medication.
- Use an pharmacy to get the plan’s negotiated rates and pay the lowest available cost under your plan.
- Know what type of medication you’re taking. generally cost less than brand-name medications, while typically have the highest costs.
- Check your coverage before you fill. Your cost depends on your medical plan and the type of medication prescribed.
- 2
When you fill your prescription
Choose the option that works best for the type of medication you need.
- For short-term medications: Use an in-network retail pharmacy for medications you need for a limited time, such as antibiotics or pain medication.
- For medications you take regularly: The prescription plan requires you to fill your maintenance medications with a 90-day supply. After your first two 30-day fills, you must move to a 90-day supply and fill the prescription through mail order or a preferred retail pharmacy. If you fill the 90-day prescription at a non-preferred pharmacy, you will pay the full cost of the medication.
With the PPO, you can get a three-month supply for the cost of two , saving you money and a trip to the pharmacy.
- For specialty medications: Specialty medications are filled through Accredo (opens in a new tab).
- 3
An protects you.
What you pay at in-network pharmacies
| In-Network | Express ScriptsBasic CDHP | Express ScriptsEnhanced CDHP | Express ScriptsPPO |
|---|---|---|---|
| 30-day (Retail) | |||
| No cost | No cost | N/A | |
| 20% after deductible | 20% after deductible | $10 copay | |
| 20% after deductible | 20% after deductible | $35 copay | |
| 20% after deductible | 20% after deductible | $60 copay | |
| 20% after deductible | 20% after deductible | 20% to $250 | |
| 90-day (Retail or Mail Order) | |||
| Preventive | No cost | No cost | No cost |
| Generic | 20% after deductible | 20% after deductible | $20 copay |
| Preferred Brand | 20% after deductible | 20% after deductible | $70 copay |
| Non-Preferred Brand | 20% after deductible | 20% after deductible | $120 copay |
* Specialty meds must be ordered through the Accredo specialty pharmacy.
Using your prescription benefits
Get more from your prescription coverage with these tools and resources from Express Scripts.
Manage your prescriptions anywhere
Use the Express Scripts website or mobile app to manage your prescriptions anytime. You can:
- Check order status
- Refill and renew prescriptions
- Transfer existing prescriptions to home delivery
- Check prices and coverage
- Review your prescription claims and balances
- Make payments
- Access your virtual ID card
Get your medications delivered
Save trips to the pharmacy with home delivery for medications you take regularly. You can get up to a 90-day supply delivered to your home through Express Scripts Pharmacy. Ask your doctor to send your 90-day prescription to Express Scripts Pharmacy or request a prescription through your Express Scripts account.
Save on prescription spending
There are several ways to make your prescription dollars go further.
- Use tax-free dollars. You can use your HSA or Health Care FSA to pay for prescription expenses.
- If you’re enrolled in the PPO Plan: SaveonSP (opens in a new tab) can help you lower the cost of eligible specialty medications through manufacturer assistance. You can also save a full copay when you fill a 90-day supply at a preferred pharmacy or mail order.
Get weight loss GLP-1 support through our partner, Digbi.
Beginning Jan. 1, 2027, our new partnership with Digbi will provide support for our associates who are taking weight loss GLP-1 medication. This partnership will include a $200/month subsidy from Frontdoor.
* Note: Diabetic GLP-1 medication is available through our partnership with Express Scripts by Evernorth.
Explore Digbi (opens in a new tab)Read Member GuideSee Pricing Guide
Check out your medication coverage on the Formulary
Pharmacy benefit managers, like Express Scripts (ESI), update their formularies regularly as medications are new on the market or generic alternatives become available. The formulary assigns each medication to a tier which helps determine the cost you will pay. You can check out the latest formulary, but be aware that a medication could have been updated in the ESI system since the last publishing.
