Express Scripts gearing up to administer the HealthSelect Prescription Drug Program beginning Jan. 1, 2024

November 01, 2023
pharmacist talking to senior customer about a medicine

Express Scripts® is entering the final phase of preparations to become the third-party administrator for the HealthSelectSM Prescription Drug Program (DPP) on Jan. 1, 2024. Optum Rx will continue to administer the plan through Dec. 31, 2023.

You can learn more about the transition.

ID cards

Express Scripts will send welcome packets to all current plan participants in December. The packets will contain the following for use beginning Jan. 1.

  • Two ID cards per household to use beginning Jan. 1
  • Mail order form
  • Plan guide with coverage details and Express Scripts’ contact information

Continuation of coverage

Express Scripts will send letters in November and December, to inform any participants who may be taking a medication that’s not on Express Scripts formulary or using a pharmacy that’s not in their network.

The letters will give alternatives to medication and options that participants can discuss with their providers. They can also contact Express Scripts customer service and/or go to the new plan website for this information.

Participants taking a medication that will no longer be on the formulary will be able to continue on their current medication at the current coverage until April 1, 2024. This is to give them time to talk with their providers, instead of having to change January 1. Participants taking a medication that will be subject to prior authorization or step therapy requirements will be able to continue taking these medications without having to meet the new requirements.

Express Scripts has more than 60,000 pharmacies in its network, including many that are in the current Optum Rx network. They also have a mail order pharmacy through Express ScriptsSM Home Delivery. Members should be able to find an in-network pharmacy provider no matter where they live.

Call center and plan website now available

Express Scripts call center is now available for participants toll-free at (800) 935-7189 (TTY: 711). Representatives can answer general questions about the transition, plan benefits, the new formulary and pharmacy network. Starting Dec. 1, they can answer questions about your specific medications and refills or address any changes to the formulary.

You can also go to the plan website to see in-network pharmacies through “Find a pharmacy” tool. Use the “Price a medication” tool to see the out-of-pocket cost of a medication under Express Scripts’ formulary.

Participants can register for an account on the plan website beginning Dec. 1.

Webinars in December

Express Scripts will conduct webinars in December to virtually meet with you. Check ERS’ events calendar from time to time for registration details.

Contact Optum Rx for claims and plan information until Dec. 31

Until Dec. 31, continue to contact Optum Rx toll-free at (855) 828-9834 (TTY:711) for plan information and questions about claims. Use your Optum Rx-issued ID cards at pharmacies until that date.