2017

PLAN
INFORMATION

You have entered the 2017 plan year website. Benefits, formulary, pharmacy network, premium, deductible and/or copayments/coinsurance may change on January 1, 2018. Visit our 2018 website for details.

Medicare Part D Pharmacy Network

Express Scripts Medicare has a broad network of more than 67,000 pharmacies nationwide, including preferred pharmacies like Walgreens and the Express Scripts PharmacySM, which offers convenient home delivery.*

See if your pharmacy is in our network. Find out which plan is right for you based on where you live, the drugs you take and the pharmacy you use.

Find a plan

Types of pharmacies

Preferred retail pharmacies

Preferred pharmacies offer preferred cost-sharing for plan members. When you use one of our 30,000+ preferred pharmacies – like Walgreens or Duane Reade – you’ll pay less for your drugs than when you use a pharmacy with standard cost-sharing.

Whichever plan you select,
you will enjoy lower prices at
30,000+ preferred pharmacies,
including Walgreens.*

Standard retail pharmacies

With more than 37,000 standard retail pharmacies in our network, including national drug and grocery stores, you can be confident that you’ll have access to the medicines you need, whether you’re at home or traveling anywhere in the U.S.

Home delivery from the Express Scripts Pharmacy

If you take one or more medicines on a regular basis, home delivery offers convenience, personalized service and potential savings.

  • Low costs – Get up to a 90-day supply of your covered drugs for a low copayment or coinsurance. Free standard shipping is included as part of your plan.
  • Added convenience –  Medications are mailed directly to your home, so you can make fewer trips and avoid waiting in line at the pharmacy. You can order refills easily by phone, mail, online or by using the Express Scripts mobile app.
  • 24/7 care and support – Express Scripts pharmacists are available anytime by phone to answer your medication questions, even in the middle of the night.

Here's an example of how much you’ll pay based on the pharmacy you choose:

Preferred generic drugs (Tier 1)
Plan
Option
Preferred Home Delivery
90 days
Preferred
Retail
31 days
Standard
Retail
31 days
Value
$3 $0 $5 - $10
Choice
$0 $2 $10

Need help?

Call 1.866.477.5703 TTY users: 1.800.716.3231
8 a.m. to 8 p.m., 7 days a week, except Thanksgiving and Christmas

*Other pharmacies are available in our network.

Your medication will usually arrive within 11 days of our receipt of your initial prescription.

Monthly premiums and copayments/coinsurance for some tiers may vary by region. For details, please see the Summary of Benefits or call an Express Scripts Medicare Advisor. Remember, you must continue to pay your Medicare Part B premium.

In most cases, your prescriptions are covered by Express Scripts Medicare only if they are filled at a network pharmacy or through our home delivery pharmacy service.

Some medications, such as narcotics, cannot be filled through home delivery from the Express Scripts Pharmacy.

The plan will fill prescriptions at out-of-network pharmacies under certain circumstances as described in our Evidence of Coverage. Members may use any of our 67,000 network pharmacies (retail and home delivery), but costs may be lower at a pharmacy offering preferred cost-sharing. Those who receive low-income subsidy assistance (Extra Help) pay the same copayments as set by Medicare at any network pharmacy.

This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits, premiums and/or copayments/coinsurance may change on January 1 of each year. The formulary and/or pharmacy network may change at any time. You will receive notice when necessary.