Brand-name drug cost when generic is available
Generic drugs are FDA-approved to be safe and effective yet cost less than the brand-name versions. To encourage the use of generics, if you or your doctor requests a brand-name medication and indicates “dispense as written” when a generic equivalent is available, you will pay the generic copay plus the cost difference between the brand and the generic.
If you require the brand rather than the generic equivalent, you or your doctor may request a coverage review to waive the cost difference between the brand and generic medication. For more information, call Express Scripts at 888-772-5181.
Advanced opioid management
The Advanced Opioid Management Program is designed to help prevent opioid abuse by limiting initial prescription drug fills to a 7-day supply for adults and 3-day supply for children. The program includes physician care alerts to help flag problematic drug combinations (prenatal vitamin prescription or mental health prescription + opioid prescription), therapy duplication, and potential misuse/abuse. Questions? Contact Express Scripts at express-scripts.com or 888-772-5181.