• Prescription Drug Benefits - Express-Scripts


    Prescription Co-pay

                                                                                 Retail Pharmacy                     Mail Order

    Generic Medications                                       $ 10                             $ 20

    Preferred Brand Medications                         $ 30                             $ 60

    Non-Preferred Brand Medications                 $ 60                           $ 120

    * Specialty medications are limited to 30-day supply at retail

    • Express-Scripts is the pharmacy benefit providerDownload Prescription Summary of Benefits here.
    • RxBenefits, Inc. is the pharmacy benefit administrator. Their member services team is called RxAssure.
    • There are separate ID cards for Aetna and Express-Scripts.
    • Pharmacy co-payments for both retail and  maintenance medications remain unchanged.
    • Contact RxBenefits at 1-800-334-8134 with formulary questions.
    • Register with Express-Scripts home delivery program for mail order prescriptions. Download a mail order form here.
    • A mobile app (myDrugCosts) is offered through RxBenefits. You can use the app to research drug costs and alternatives.
    Who Is Who?
    RxBenefits, RxAssure & Express-Scripts.....
    RxBenefits – Pharmacy Benefits Administrator
    RxAssure (part of RxBenefits)
       – Member Services:
          • Denied claims
          • Copay inquires  
          • Plan questions
          • Customer service issues/questions
          • Locate a pharmacy
          • Pricing questions
           • Included/excluded medication
    Express Scripts
       – Pharmacy Benefit Manager
       – Specialty pharmacy, Accredo
       – Pharmacy Help Desk
       – Back-up customer service
       – Mail Order pharmacy
    Member Information:
    • RxBIN: 610014
    • RxGroup: 35242Rx
    • Express-Scripts Pharmacy Help Desk: 1-800-922-1557
    • RxAssure Member Services: 1-800-334-8134
    Specialty Medication:
    • Specialty medications are covered through Accredo (Express-Scripts Specialty Pharmacy).
    • Specialty medications may require pre-authorization and quantity limits may apply.
    • Specialty medications are limited to a 30-day supply.