Members needing diabetes medication or supplies can receive the following prior to meeting their HSA Plan deductible:
Diabetes Care Value Program
Express Scripts now offers the Diabetes Care Value Program, which helps support our members who have diabetes and pre-diabetes. Eligible members will have access to a digital weight loss program through Omada, which provides a cellular connected scale, coaching and more; as well as diabetes remote monitoring through LifeScan.
Access more information about this program by using the contact information on the Prescription Drug Plan Contact page.
Diabetic Medications
| HSA Plan Coinsurance for Diabetic Medications | ||||
|---|---|---|---|---|
| HSA Plan Coinsurance for Diabetic Medications | ||||
| Coinsurance applies after deductible is met | ||||
| Generic | Preferred | Non-Preferred | ||
| Network per a 31-day supply Generic — 5% up to $25 Preferred — 10% up to $50 Non-Preferred — 20% up to $100 |
Network per a 31-day supply |
5% up to $25 |
10% up to $50 |
20% up to $100 |
| Non-Network Generic — 20% Preferred — 20% Non-Preferred — 25% |
Non-Network | 20% | 20% | 25% |
| PPO Plan Copayments for Diabetic Medications | ||||
| PPO Plan Copayments for Diabetic Medications | ||||
| Supply | Generic | Preferred | Non-Preferred | |
| Up to 31-day Generic — $7.50 Preferred — $25 Non-Preferred — $60 |
Up to 31-day | $7.50 | $25 | $60 |
| Up to 60-day Generic — $15 Preferred — $50 Non-Preferred — $120 |
Up to 60-day | $15 | $50 | $120 |
| Up to 90-day (Home Delivery) Generic — $18.75 Preferred — $62.50 Non-Preferred — $150 |
Up to 90-day (Home Delivery) | $18.75 | $62.50 | $150 |
| Up to 90-day (Retail) Generic — $22.50 Preferred — $75 Non-Preferred — $180 |
Up to 90-day (Retail) | $22.50 | $75.00 | $180 |
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