Prescription Drug Plan

Members needing diabetes medication or supplies can receive the following prior to meeting their HSA Plan deductible:

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

Diabetes Support Services

State Members

Non-Medicare

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