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Staff Liaison
 


General Information

 

Prescription Drug Plan Update: Upcoming System Migration and Enhancements  

 

In late 2009, our parent company completed a deal to sell its NextRx pharmacy benefit management subsidiaries to Express Scripts, and subsequently entered into a contract with Express Scripts to provide certain operational and administrative support for our prescription drug plans. As a result, customers will gain the advantage of best-in-class programs from both organizations and integration of their medical and pharmacy benefits from leaders in their respective fields.

 

We continue to control pharmacy policy, clients' prescription drug programs and benefit designs. However, Express Scripts will begin processing prescription drug claims and managing pharmacy operations once accounts have migrated to their pharmacy operating platform. Your organization will start migrating on April 1, 2010.

 

Upon migration, members will keep their existing ID cards and numbers, Customer Service phone numbers, drug list/formulary and benefit designs. However, mail pharmacy customers and website users will experience some changes beginning April 1.

 

Mail Pharmacy

Current NextRx mail service pharmacy customers will transition to Home Delivery from the Express Scripts Pharmacy.  

 

What Isn't Changing:

  • Express Scripts Pharmacy order processing times are the same as what members experienced with NextRx. For refills, standard order processing time is three to five days, and standard order processing time for new prescriptions is 10 to 14 days.

  • On April 1, if a member has refills remaining on current prescription(s) at NextRx, the information will be sent to the Express Scripts Pharmacy. The member will be able to place the refill orders online or by phone, in the same manner as today.

  • Members taking specialty medications will not experience changes upon migration. Specialty medications will continue to be dispensed primarily through PrecisionRx Specialty Solutions.

What's Changing:

  • Members can continue filling orders through NextRx until March 31. After that date, they should send new prescription orders to the Express Scripts Pharmacy.

  • To place an order by mail, members should complete the new patient information order form and send it, along with the prescription(s) to the new St. Louis, Missouri address.

  • If members have refills remaining at NextRx on an active prescription less than one year old, the information will be transferred automatically to Express Scripts. Members will be able to place the refill orders online, by mail or by phone, in the same manner as they do today.

  • Existing mail pharmacy customers may notice changes to the automated phone system, as well as the color and layout of paperwork in order packages from the Express Scripts Pharmacy.

Web Experience

Members who currently use our website to access pharmacy information will continue logging into the same site. However, beginning April 1, they will be redirected to the Express Scripts website and asked to provide registration information. This information will be used to manage members' pharmacy benefits and preferences for communication and privacy.

 

Other web changes include:

  • Customers of Home Delivery from the Express Scripts Pharmacy will now have a convenient Bill Me Later payment option.

  • Members will also have automatic-refill options with the Express Scripts Pharmacy.

  • Members will not be able to pay a balance or apply credit over the web, as they could with NextRx.

  • Regular refill reminders for adult dependents will no longer be available.

  

Member Communications

Current mail pharmacy customers were sent letters that detail the changes listed above on March 19. These mailings will also include an Express Scripts Pharmacy new patient information order form and a Frequently Asked Questions document.

 

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