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Non-Medicare members needing diabetes medications or supplies can receive the following:

  • Lower prescription copayments/coinsurance
  • Preferred glucometer (one per year) and prescribed preferred test strips and lancets covered at 100% when received through a network pharmacy.

Diabetes Care Value Program

Express Scripts now offers the Diabetes Care Value Program, which helps support our members who have diabetes and pre-diabetes. Eligible members will have access to a digital weight loss program through Omada, which provides a cellular connected scale, coaching and more; as well as diabetes remote monitoring through LifeScan.

Access more information about this program by using the contact information on the Prescription Drug Plan Contact page.

Diabetic Medications

 
HSA Plan Coinsurance for Diabetic Medications
HSA Plan Coinsurance for Diabetic Medications
Coinsurance applies after deductible is met
 
  Generic Preferred Non-Preferred
Network
per a 31-day supply
Generic — 5% up to $25
Preferred — 10% up to $50
Non-Preferred — 20% up to $100
Network
per a 31-day supply
5%
up to $25
10%
up to $50
20%
up to $100
Non-Network
Generic — 20%
Preferred — 20%
Non-Preferred — 25%
Non-Network 20% 20% 25%
 
 
PPO Plan Copayments for Diabetic Medications
PPO Plan Copayments for Diabetic Medications
 
Supply Generic Preferred Non-Preferred
Up to 31-day
Generic — $5
Preferred — $20
Non-Preferred — $50
Up to 31-day $5 $20 $50
Up to 60-day
Generic — $10
Preferred — $40
Non-Preferred — $100
Up to 60-day $10 $40 $100
Up to 90-day (Home Delivery)
Generic — $12.50
Preferred — $50
Non-Preferred — $125
Up to 90-day (Home Delivery) $12.50 $50 $125
Up to 90-day (Retail)
Generic — $15
Preferred — $60
Non-Preferred — $150
Up to 90-day (Retail) $15 $60 $150

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