HealthSelect - Prescription Drug Program

Prescription drug costs vary. View general cost information on the prescription drug copay chart. To check the cost of a specific medication, contact Express Scripts. Use the "Price a Medication" tool on the plan website for a drug pricing calculator. All quotes are estimates and drug cost may not reflect actual annual cost* or cost at the pharmacy. Cost can vary based on any of the following:

• Maintenance vs. non-maintenance
• Preferred vs. Non-Preferred
• Days' supply
• Quantity
• Dosage/Strength
• Manufacture pricing/classification changes
• Date drug is dispensed

*Calculate Annual Cost estimate by subtracting $50 from the amount shown in the Your Cost Total column, multiply the cost by the appropriate number of refills you are allowed per year, and add your $50 deductible.

There is a $50 per person per calendar year deductible beginning on January 1. Until the $50 deductible is met for each person, your out of pocket costs for prescriptions filled after January 1 will increase.

You can fill prescriptions at any retail pharmacies in the Express Scripts network or the Express Scripts Home Delivery Pharmacy. Find a participating pharmacy near you on the Express Scripts website. Using a participating retail pharmacy in the network allows you to receive the highest level of benefits.

If you use a pharmacy outside the Express Scripts network, you will need to pay the total retail price for your prescription and then submit a Paper Claim Reimbursement Form (found on the plan website) along with an original prescription receipt to Express Scripts for reimbursement of covered expenses.

Yes. Express Scripts has a mail service pharmacy. You can get a 90-day supply of maintenance medications through mail service without having to pay a retail maintenance fee.

Yes. You can pay for your prescription medications through mail service or at your local retail pharmacy with your TexFlex debit card. You cannot use the card to pay for a balance due on the Express Scripts website.