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We have a list of participating pharmacies here.
Express Scripts can be contacted directly by phone for any questions you may have:
Certain non-covered prescription drugs can be obtained at a discounted price through the Express Scripts Pharmacy. These may include Renova, a dermatological drug; Propecia, a cosmetic drug; and erectile dysfunction agents.
If you use a non-covered prescription drug and you want to learn whether it falls into this category, as well its discounted price, call Express Scripts at 800-818-6717. To order an eligible medication, you need to submit the prescription with a home delivery order form and payment for the full discounted price.
As a non-FEHB benefit, you cannot file an FEHB disputed claim about any drugs obtained via this program. Further, the price you pay for any drug in this program is separate and apart from your FSBP premium, deductible, copayments, or catastrophic protection out-of-pocket maximums.
Your safety is the top concern of both Express Scripts and FSBP. We require prior authorization of certain medications as a safety measure for you to establish the medical necessity of your use of the drug. Examples of drug categories requiring prior authorization include, but are not limited to, growth hormones, certain hormone therapies, interferons, erythroid stimulants, anti-narcoleptics, sleep aids, migraine medication, weight loss medications, opioids, and oncologic agents. The review of your prior authorization request uses Plan rules based on FDA-approved prescribing and safety information, clinical guidelines, and uses that are considered reasonable, safe, and effective. Additionally, there are some medications that may be covered with limits (for example, only for a certain amount or for certain uses) unless you receive approval through a coverage review.
Contact Express Scripts Member Services directly if you have questions about, or need to obtain, prior authorization for a medication: 800-818-6717.
Your prescription drug coverage includes the Personalized Medicine Program, which incorporates pharmacogenetics testing to optimize drug therapies for certain conditions. The program is available – at no extra cost – to patients taking Plavix or Warfarin. It requires no action on your part.
The FDA recommends pharmacogenetics tests to help doctors prescribe the most appropriate drug and dosage for each patient. First, a pharmacist from Express Scripts contacts your doctor to see if it is appropriate for you to participate in the testing. If your doctor agrees, the pharmacist will contact you to let you know that testing is available and, if you agree to it, arrange to complete the test. Results will be sent directly to your doctor and to a specially trained Express Scripts pharmacist. Ultimately, your doctor decides which drug and dose is best for you.
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