Express Scripts Jan. 1 Checklist for TRS-Care
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On Jan. 1, 2024, Express Scripts will start to administer your TRS-Care pharmacy benefits.
They'll automatically transfer your current prescriptions in most cases, but you can still do some things to make the transition as smooth as possible!
Use this checklist to be ready:
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TRS-Care Standard and TRS-Care Medicare Rx
☑ Put your new ID card in your wallet: You'll get a new pharmacy ID card from Express Scripts. Store it somewhere handy for the next time you go to the pharmacy!
☑ Use the pharmacy locator tool: Use the online pharmacy locator tool to find out if your preferred pharmacies are still in-network (most will be!).
☑ Work with your provider on or after Jan. 1, 2024 to make sure your prior authorizations are approved and in place: In some cases, existing authorizations from your current plan may not carry over. Call Express Scripts Customer Service to find out if your drug requires prior authorization. Contact information can be found below.
☑ Know how mail order works: You could save on medications by using home delivery. Express Scripts will deliver up to 90 days of your long-term medication(s) to your doorstep. To start home delivery, ask your doctor to send an electronic prescription to Express Scripts Pharmacy. To learn more, call Express Scripts Customer Support or visit them online.
☑ Check the new list of covered medications: Express Scripts covers most medications that are currently covered by your plan. You can visit the Express Scripts website for your plan to use a drug cost estimator to see how much you’ll pay for a medication.
☑ Know your Rx plan benefits: If you're on TRS-Care Standard, you'll pay 20% of the cost for most medications after meeting your plan's deductible.
If you're on the TRS-Care Medicare Rx plan, understand the difference between copays for a 31-day supply versus a 90-day supply.
In most cases, copays for a 90-day supply save you money and are eligible through mail delivery. Learn more at
TRS-Care Medicare Rx Home Delivery.
Remember, your deductible resets every January 1st, so you may see higher costs until your deductible is met for the new plan year.
☑ Save important contact information:
TRS for Enrollment and Eligibility related questions: 1-888-237-6762, 7 a.m.– 6 p.m. CT, Monday–Friday
www.trs.texas.gov
UnitedHealthcare for Medical Benefits related questions: 1-866-347-9507, TTY 711, 7 a.m.–6 p.m. CT, Monday–Friday,
www.UHCRetiree.com/TRSCare-MA
SilverScript for prescription drug related questions: 1-844-345-4577, TTY 711, 24 hours a day, 7 days a week
Info.caremark.com/trscaremedicarerx
TRS-Care Standard Only
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Get ready to fill specialty medications:
Express Scripts' specialty pharmacy, Accredo, must fill specialty medications for TRS-Care Standard. Depending on when your refills expire or the type of drug, you may need to transfer your prescription. Learn more at
Accredo for TRS-Care Standard or call their customer service line at 800-803-2423.
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See if you can get manufacturer co-pay assistance for specialty medications:
SaveOnSP is a copay assistance program for specialty medications. If you take a specialty medication, call them to see if you qualify at 800-683-1074. Specialty medications supported by SaveOnSP can be filled for $0 after your deductible has been satisfied.
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Get ready to fill specialty medications: Express Scripts' specialty pharmacy, Accredo, must fill specialty medications for TRS-Care Standard. Depending on when your refills expire or the type of drug, you may need to transfer your prescription. Learn more at
Accredo for TRS-Care Standard or call their customer service line at 800-803-2423.
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See if you can get manufacturer co-pay assistance for specialty medications: SaveOnSP is a copay assistance program for specialty medications. If you take a specialty medication, call them to see if you qualify at 800-683-1074. Specialty medications supported by SaveOnSP can be filled for $0 after your deductible has been satisfied.
Yes, medications that are not listed on the formulary are considered "non-formulary drugs". If you learn that TRS-Care Medicare Rx does not cover your drug, you have two options:
- You can ask TRS-Care Medicare Rx Customer Care team for a list of similar drugs that are covered by our plan. When you receive the list, show it to your doctor and ask them to prescribe a similar drug that is covered by your plan.
- You can also apply for a non-formulary exception. Our Customer Care Team will be happy to assist you with this process. You can contact them at 1-844-345-4577, press option #2.
**Please note that non-formulary exceptions do not guarantee you coverage for a non-form
