Medication Adherence Program (MAP) For Retirees taking Diabetes and Cardiovascular Medications
*This applies to the Traditional 70/30 Plan and the Enhanced 80/20 Plan.
To make it easier for members to stay healthy and take their medications as directed by their provider, the State Health Plan is providing a special benefit to retired members taking medications for cholesterol, blood pressure and blood sugar. Retired members can order a 90-day supply of their diabetes and heart medications from a participating pharmacy for 2½ times the copay. Click here to see the list of participating pharmacies.
Click here to see the list of medications included in the program. If a member is taking one or more of these medications, they should consider receiving them from a participating pharmacy.
*If a generic is included on the Low Cost Generic list it will continue to be $10 for a 90-day supply.
Savings: Members can save money by receiving up to a 90-day supply for just one lower copayment.
Example: The copay for Januvia, a diabetes medication, is $40 (Tier 2) for a 30-day supply. If Januvia is obtained through this program, it would be $100 for a 90-day supply, with an annual savings of $80.
Automatic Refills: Members may schedule automatic refills of important medications. For mail order, members may opt into this program and would receive a phone call prior to their automatic refill and shipment of the medication. Ask about this option at participating retail pharmacies.
Extended payment plan (mail order only): This allows members to pay for a 90-day supply of a medication over time instead of all at once.
To get started with this program, or if you have questions, call Express Scripts Member Service at at 800-336-5933.
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