Benefits - Pharmacy Benefits

Pharmacy

Pharmacy Benefits

This service provides information and resources for Pharmacy benefits.

Express Scripts

Benefits Overview

Express Scripts program coordinates with following medical plans:

  • Anthem Select PPO
  • Anthem Choice PPO
  • Anthem Care PPO
  • Anthem EPO

You can conveniently fill maintenance medications (drugs you take regularly for ongoing conditions) up to a 90-day supply through home delivery or at a retail pharmacy in the Smart90 network, either CVS or Walgreens! After the third time you purchase up to a 30-day supply of a maintenance medication at a pharmacy, you’ll pay a higher cost under your plan. By choosing a 90-day option—either through home delivery or at a Smart90 pharmacy—you can avoid this higher cost. You will pay the same copayment for your 90-day supply with either option. 

Throughout the year, Express Scripts asks an independent panel of doctors and pharmacists to review and compare all of the medications available to patients. When the panel finds there are multiple medicines that work to treat the same condition and are equally as safe, the findings results into formulary changes each year on 7/1 and 1/1. If your prescription is impacted, Express Scripts will contact you directly via phone and mail. 

For details on pharmacy costs, please visit the employee benefits brochure

For FREE maintenance medications, please visit the Rx ‘n Go site.

 

Contact Information

Express Scripts

Customer Service- 1-877-554-3091

Pharmacy Inquiries- 1-877-248-1164

Coverage Review- 1-844-374-7377

https://www.express-scripts.com/

IngenioRx

Benefits Overview

Ingenio Rx is a pharmacy plan for those that are enrolled in the County’s Anthem High Deductible Health Plan.

  • You pay 100% of pharmacy costs until you meet the plan’s deductible. This means if your prescription costs $100, you will need to pay the $100 each time you pick it up until you reach your deductible.
  • You do NOT have a set co-pay. Once you meet your deductible, you will have co-insurance coverage, meaning you will pay 20% of your prescription’s cost.
    • If your prescription costs $100 and you have met your deductible, you will pay 20% ($20) and the plan will cover the remaining 80% ($80).
  • Once you reach your annual out-of-pocket maximum, the plan will pay 100%.

Contact Information

IngenioRx

833‐255‐0645

https://www.anthem.com/ca/

Rx 'N Go

Benefits Overview

Rx ‘n Go is a voluntary mail order pharmacy benefit that provides you access to over 1,200 generic medications at no cost to you. All employees and covered dependents on an Anthem medical plan* have the option to receive up to a 90-day supply of generic prescription maintenance medications by mail for free. In addition, you may also receive up to a 90- day supply of Prodigy® diabetic test strips and lancets delivered to your home at no cost.

STEP 1- What do I have to do?

Go to rxngo.com and confirm your medication(s) is on the Rx ‘n Go drug list.

STEP 2- Complete the Pharmacy Profile form online or by calling Rx ‘n Go.

STEP 3- Mail the Pharmacy Profile form and original prescription(s) to Rx ‘n Go. Your physician my also fax, phone or E-Scribe your prescription.

STEP 4- Receive your medication(s) by mail at your home.

Contact Information

Rx ‘ n Go

888.697.9646

www.rxngo.com