Prescription Rx

If you are enrolled in the Anthem PPO Medical Plan, Express Scripts (ESI) administers your prescription drug benefit. You may take your prescription to a participating pharmacy or you may use the Express Scripts mail order pharmacy. Download, complete and mail the Express Scripts Home Delivery Order Form. To contact Express Scripts, call (800) 987-7836 or visit www.expressscripts.com

If you are enrolled under the Anthem PPO Bronze Plan or the Anthem PPO Gold Plan, your prescription coverage is under Express Scripts. You may take your prescription to a participating pharmacy or you may use the Express Scripts mail order pharmacy. Download, complete and mail the Express Scripts Home Delivery Order Form. To contact Express Scripts, call (800) 987-7836 or visit www.expressscripts.com

Important: After the second purchase of a long-term drug at a participating retail pharmacy, you'll pay the entire cost if you continue to purchase that medication at retail. (Long-term drugs are those you take to treat an ongoing condition, such as high blood pressure or high cholesterol.) If you don't want to pay the entire cost for your long-term drugs, get them by mail from the Express Scripts Pharmacy. Not only will you save, you can also get up to a 90-day supply of your medication delivered right to you—with free standard shipping! Express Scripts knows that mail order may be new to you, so they make it easy.

Let Express Scripts do all the work. For most medications, they’ll be able to contact your doctor and arrange for your first mail-order supply. Your medication will usually arrive within 8 days after they get your doctor's approval. You should continue to use a participating retail pharmacy for short-term drugs, such as antibiotics.

Type of Drug

Retail Network Pharmacy (Up to a 30-Day Supply)

Mail Order Pharmacy 
(31- to 90-Day Supply)

Generic

$10; $0 for prescription contraceptives

$25; $0 for prescription contraceptives

Preferred Brand

$40

$100

Non-preferred Brand

$60

$150

Specialty

$50

$100

Preferred/Non-Preferred Brand For Which There is a Generic Equivalent Available

You will be charged the brand copayment, plus the difference in cost between the brand and the generic

You will be charged the brand copayment, plus the difference in cost between the brand and the generic

Note

Using preferred drugs helps control costs for you and your Plan while still providing you with the medications you need to stay healthy.

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