How to search for a Pharmacy or Drug using the Express Scripts website

Transcription

1 How to search for a Pharmacy or Drug using the Express Scripts website You are able to look for a participating pharmacy or a particular drug using the following website: Search for a Pharmacy Click on the Find a local participating pharmacy tab. Enter the zip code or city and state that you are inquiring about and click the locate pharmacy tab. This will show a list of pharmacies in the area that participate with Express Scripts. Helpful tip: If searching by city and state be sure to use a comma between the city and state name. See below for a sample screen shot of pharmacy results: Search for a Prescription Drug

2 Click on the Formulary look up drugs by name tab. You can then 1) search by name, 2) search alphabetically or 3) search by treatment category. If you find the drug s name that you are inquiring about click on it and that will take you to information on the drug which also provides the Status and Medication Type. Status is where you ll find whether the drug is preferred or non-preferred and Medication Type is where you ll find whether the drug is generic or brand. Although tier information is not listed, this is how to interpret which tier drugs are covered under: Tier 1 products are now called Generic Tier 2 products are now called Preferred Brands Tier 3 is now called Non-Preferred Brands Tier 4 co-payment will not show up as Tier 4 on the web. Please use the list attached below to compare. If a drug is not found that indicates that it is not covered See below for a sample screen shot of drug results: It s important to note that some medications may move from one tier to another. Depending on whether the medication is moving to a higher or lower tier, the amount you pay for that medication may increase or decrease. Express Scripts makes updates to its preferred drug list on an ongoing basis.

3 Specialty Drug List Unless otherwise noted, all brand and generic formulations of a product are considered specialty. Green = Drugs distributed exclusively by Accredo. Red = Drugs distributed by Accredo as part of a limited distribution network. Blue = Drugs that are designated specialty but not dispensed by Accredo. * = Your plan may require most specialty medications to be dispensed exclusively by Accredo. Those medications marked by an asterisk (*) may have allowances for one or more retail fills. ALPHA 1 DEFICIENCY Aralast NP * Glassia TM * Zemaira * Prolastin C ANTICOAGULANT Arixtra * (fondaparinux CANCER (cont d) Jevtana Kadcyla TM Kepivance Keytruda Kyprolis Lenvima TM Lupron Depot CYSTIC FIBROSIS Bethkis * Cayston Kalydeco TM * Kitabis Pak TM Pulmozyme * Tobi (tobramycin) Tobi Podhaler TM HEMOPHILIA (cont d) Helixate FS Hemofil M Humate-P Ixinity Koate- DVI Kogenate FS Monoclate-P HIV (Cont d) Selzentry * Stribild * Tivicay * Triumeq * Trizivir *(abacavir, lamivudine, and zidovudine) Truvada * sodum) Lynparza TM Mononine Tybost * Ple Fragmin * Iprivask Lovenox *(enoxaparin sodium) ASTHMA & ALLERGY Xolair Oralair BLOOD CELL DEFICIENCY Aranesp Mircera Epogen Granix TM Leukine Mozobil Neulasta Neumega Neupogen Nplate Procrit Promacta CANCER Abraxane Adcetris TM Afinitor Arranon Arzerra Avastin Marqibo Matulane Mekinist TM Nexavar Opdivo Perjeta TM Pomalyst Proleukin Prothelial TM Provenge Purixan TM Revlimid Rituxan Sprycel Stivarga Sutent Sylatron TM Sylvant TM Synribo TM Tafinlar Tarceva Targretin Tasigna Temodar (temozolomide) Testopel Thalomid Thyrogen Torisel Treanda Tykerb Valchlor TM Valstar ENDOCRINE DISORDERS Aveed TM Korlym Kuvan Lupaneta Pack TM Lupron Depot-Ped Natpara Ruconest Samsca Sandostatin (octreotide acetate) Sandostatin LAR Signifor Somatuline Depot Somatuline Depot Somavert Supprelin LA ENZYME DEFICIENCY Adagen Aldurazyme Carbaglu Cerdelga TM Cerezyme Elaprase Elelyso TM Fabrazyme Lumizyme TM Myozyme Naglazyme Orfadin Sucraid Novoeight Novoseven RT Obizur TM Profilnine SD Recombinate TM RiaSTAP Rixubis TM Stimate Tretten Wilate Xyntha HEPATITIS C Harvoni Infergen Olysio TM Pegasys Peg- Intron Ribavirin (Rebetol, Copegus, Ribasphere, Ribapak, Ribavirin (Moderiba TM ) Sovaldi TM Victrelis TM Viekira Pak TM HEREDITARY ANGIOEDEMA Berinert * Cinryze * Firazyr * Kalbitor * Beleodaq TM Vantas Blincyto TM Vectibix VPRIV TM Ruconest * Vimizim TM Bosulif Velcade Zavesca HIV Bravelle Caprelsa Vidaza (azacitidine Aptivus * Cometriq TM Votrient ) GROWTH DEFICIENCY Atripla * Xalkori Xeloda (capecitabine) Genotropin Xgeva TM Humatrope Xofigo Xtandi Increlex Yervoy TM Zaltrap Norditropin Nutropin Zarxio TM Zelboraf TM AQ Omnitrope Zoladex Zolinza Saizen Serostim Zometa Zydelig Zomacton Zorbtive Zykadia TM Zytiga TM Videx * (didanosine) Videx EC *(didanosine DR) Viracept * Viramune * (nevirapine) Viramune XR *(nevirapine ER) Viread * Vitekta * Zerit * (stavudine) Ziagen *(abacavir) IDIOPATHIC PULMONARY FIBROSIS Esbriet TM OFEV IMMUNE DEFICIENCY Actimmune Bivigam TM Carimune NF Cytogam Flebogamma Gamastan S-D Gammagard Liquid Gammagard S-D Gammaked TM Gammaplex Gamunex-C Hizentra TM Hyqvia Octagam Privigen Cetrotide Chorionic Gonadatropin (brands Crinone Cyramza TM Dacogen (decitabine) Eligard Erbitux Erivedge TM Erwinaze Firmagon Folotyn Gazyva TM Gilotrif TM Gleevec Halaven TM Herceptin Hycamtin (capsules) Hycamtin (topotecan injection) Ibrance Iclusig Imbruvica TM Inlyta Intron A Istodax Ixempra Jakafi TM CONTRACEPTIVE Liletta TM Mirena Nexplanon Paragard Skyla HEMOPHILIA Advate Alphanate Alphanine SD Alprolix TM Bebulin Benefix Corifact DDAVP (desmopressin acetate) (oral/nasal forms are not specialty) Eloctate TM Feiba NF Combivir * (lamivudine/zidovudine) Complera * Crixivan * Edurant * Egrifta Emtriva * Epivir * (lamivudine) Epzicom * (abacavir/lamivudine) Evotaz TM * Fuzeon * Intelence * Invirase * Isentress * Kaletra * Lexiva * Norvir * Prezcobix TM * Prezista * Rescriptor * Retrovir * (zidovudine) Reyataz * Sustiva * Tivicay * include Novarel, Pregnyl ) Crinone Endometrin Follistim AQ Ganirelix (ganirelix acetate) Gonal-F leuprolide Menopur Ovidrel progesterone injection (oral forms are not specialty) Repronex INFLAMMATORY CONDITIONS Actemra Arcalyst Benlysta Cimzia Cosentyx TM Enbrel Entyvio TM

4 Unless otherwise noted, all brand and generic formulations of a product are considered specialty. Green = Drugs distributed exclusively by Accredo. Red = Drugs distributed by Accredo as part of a limited distribution network. Blue = Drugs that are designated specialty but not dispensed by Accredo. * = Your plan may require most specialty medications to be dispensed exclusively by Accredo. Those medications marked by an asterisk (*) may have allowances for one or more retail fills. INFLAMMATORY CONDITIONS (cont d) Humira Humira (Pediatric) Ilaris Kineret Krystexxa Orencia Otezla Remicade Simponi TM Simponi Aria Stelara TM Xeljanz IRON TOXICITY Jandenu TM Exjade Ferriprox MISCELLANEOUS SPECIALTY CONDITIONS Acthar H.P. Gel Apokyn Arestin Botox Botox Cosmetic Ceprotin TM Chenodal Cholbam Cystadane Cystagon Dysport Evzio Gattex Hetlioz TM Juxtapid Kynamro TM Makena TM Myalept TM Myobloc Northera TM Prialt Procysbi TM Qutenza Ravicti TM Sabril Solesta Soliris Sprix Varithena Vivitrol Xenazine Xeomin Xiaflex TM Xyrem Zecuity MULTIPLE SCLEROSIS Ampyra TM Aubagio Avonex Betaseron Copaxone Duopa TM Extavia Gilenya TM Lemtrada TM mitoxantrone Plegridy TM Rebif Tecfidera TM Tysabri OPHTHALMIC CONDITIONS Cystaran TM Eylea Iluvien TM Jetrea Lucentis Macugen Ozurdex TM Retisert Visudyne OSTEOARTHRITIS Euflexxa Gel-One Hyalgan Monovisc Orthovisc Supartz Synvisc OSTEOPOROSIS Boniva (ibandronate) (oral forms are not specialty) Forteo Prolia TM Reclast PULMONARY HYPERTENSION Adcirca Adempas Flolan Flolan Diluent Letairis Opsumit Orenitram TM Remodulin Revatio (sildenafil citrate) Tracleer Tyvaso Veletri Ventavis RESPIRATORY SYNCYTIAL VIRUS Synagis * TRANSPLANT Astagraf XL TM * Cellcept * (mycophenolate mofetil) Cyclosporine (Sandimmune *, Neoral, Gengraf ) Imuran *, (Azasan *, azathioprine) Myfortic * (mycophenolic acid) Nulojix * Prograf *, (Hecoria TM *, tacrolimus. Topical forms are not specialty) Rapamune * (sirolimus) Simulect * Thymoglobulin * Zortress *

5