My Pharmacy Benefits
Welcome to the State Health Plan's online resource for Pharmacy benefits. The Plan utilizes a Pharmacy Benefit Manager (PBM), which administers the prescription drug benefit. The current PBM for the State Health Plan is Express Scripts.
You will be required to pay the appropriate copay or coinsurance in accordance with State Health Plan benefits. When visiting a participating pharmacy, be sure to present your State Health Plan ID card to the pharmacy.
The State Health Plan has two prescription drug plans:
Traditional Pharmacy Plan
All members not eligible for Medicare are enrolled in this plan.
For questions regarding your Traditional Pharmacy Plan, please call Express Scripts Customer Service at 800-336-5933, or visit Express Scripts.
Express Scripts Medicare™ Prescription Drug Plan
All Medicare-eligible members are automatically enrolled in this plan. This plan is comparable to the Traditional Pharmacy Plan and offers better coverage than a standard Medicare Part D Plan.
Express Scripts Customer Service is able to answer questions on your plan's specific prescription coverage and copay amounts. You may contact Express Scripts Customer Service at 877-680-4882, 24 hours a day, 7 days a week. TTY users should call 800-716-3231, or visit Express Scripts.
