Express Scripts Prescription Drug Plan for Both Actives & Retirees

Effective February 1, 2023, the DEA launched a new prescription drug program with Express Scripts. This new program replaces our Benecard prescription drug plan. Our members should experience significantly enhanced prescription drug benefits with no disruptions to current prescription drug needs. Members should have received a “welcome kit,” which includes a letter and your new pharmacy ID cards. This replaces your Benecard card only. (Continue to use your PICA and/or WTC Health Program card(s) as you currently do now, as the new Express Scripts card will not replace those cards, although Express Scripts will be able (behind the scenes) to view and direct your prescription needs to the correct PICA and the WTC benefit providers.) Present your new prescription card to your pharmacy.

This new plan will save the DEA health benefits funds approximately $20-million over three years: money which we can use to enhance other health benefits.

For Actives —The annual out-of-pocket maximum is lowered to $5,000 Individual / $10,000 Family. And once this is met, 100% of prescription costs are covered by the Fund. There is no family spend limit on medications.

For Retirees — The annual family maximum benefit is increased to $20,000. There is no annual deductible. Generic copay (retail and mail) is lowered to $5.

The DEA has a dedicated Express Scripts Customer Service number at (877) 882-3343.

Express Scripts also has enhanced website and mobile app capabilities that members can use to manage their mail order medication refills, review drug costs, and view your ID card. You can register and set up your online account at express-scripts.com

Download the mobile app on the App Store or Google Play.