Prescription Coverage Information – Express Scripts

On April 1, 2010, Anthem changed their pharmacy benefit management function from NextRX to Express Scripts.  Members should keep their current ID cards, and may direct any questions to Customer Service at 1-800-962-8192.   

What Isn’t Changing:

  • Express Scripts Pharmacy order processing times are the same as what members experienced with NextRx. For refills, standard order processing time is three to five days, and standard order processing time for new prescriptions is 10 to 14 days.
  • As if April 1, if a member had refills remaining on current prescription(s) at NextRx, the information was sent to the Express Scripts Pharmacy. The member will be able to place the refill orders online or by phone, in the same manner as today.
  • Members taking specialty medications will not experience changes upon migration. Specialty medications will continue to be dispensed primarily through PrecisionRx Specialty Solutions. 

What Is Changing:

  • Members  filling orders after April 1, 2010 should send new prescription orders to the Express Scripts Pharmacy.
  • To place an order by mail, members should complete the new patient information order form (available on the Human Resources website) and send it, along with the prescription(s) to the new St. Louis, Missouri address. 
  • If members have refills remaining at NextRx on an active prescription less than one year old, the information will be transferred automatically to Express Scripts. Members will be able to place the refill orders online, by mail or by phone, in the same manner as they do today.
  • Existing mail pharmacy customers may notice changes to the automated phone system, as well as the color and layout of paperwork in order packages from the Express Scripts Pharmacy.

 Web Experience

Members who currently use the website to access pharmacy information will continue logging into the same site. However, as of April 1, you will be redirected to the Express Scripts website and asked to provide registration information. This information will be used to manage your pharmacy benefits and preferences for communication and privacy.

Other web changes include:

  • Customers of Home Delivery from the Express Scripts Pharmacy will now have a convenient Bill Me Later payment option.
  • Members will also have automatic-refill options with the Express Scripts Pharmacy.
  • Members will not be able to pay a balance or apply credit over the web, as they could with NextRx.
  • Regular refill reminders for adult dependents will no longer be available.

 If you need additional information, please contact Cindy Fisher, Benefits Coordinator, at extension 4126.