
PUBLIC EDUCATION EMPLOYEES' HEALTH INSURANCE PLAN
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PEEHIP's Pharmacy Benefits are administered by Express Scripts for PEEHIP's Active Members and Non-Medicare-Eligible Retirees who are enrolled in the PEEHIP Blue Cross Blue Shield Group #14000 Hospital Medical Plan.
- Express Scripts Contact Information
- Information about prescription drugs and medications is located in the PEEHIP Hospital Medical Plan section of your Member Handbook (Active Members and Non-Medicare-Eligible Retirees).
- Express Scripts Prescription Drug Lookup and Pharmacy Locator
- Express Scripts administers PEEHIP's specialty drug pharmacy program. Click here for a list of all in-network specialty pharmacies.
Formulary Drug List
Other Pharmacy Benefit Information
- Express Scripts At-Home COVID Test Reimbursement Form
- VIVA Health At-Home COVID Test Reimbursement Form
- Express Scripts Prescription Drug Reimbursement Form
- Flu Shots
- PEEHIP's Pharmacy Benefits are administered by UnitedHealthcare for PEEHIP's Medicare-eligible Retirees.
Prescription Benefit Copays Administered by Express Scripts
Tier 1 - Generic:
- $6 copay (1-30 day supply)
- $12 copay (31-90 day supply)
Tier 2 - Formulary (preferred brand name):
- $40 copay (1-30 day supply)
- $80 copay (31-60 day supply)
- $120 copay (61-90 day supply)
Tier 3 - Non-formulary (non-preferred brand name):
- $60 copay (1-30 day supply)
- $120 copay (31-60 day supply)
- $180 copay (61-90 day supply)
Tier 4 - Specialty Drugs
- 20% coinsurance per prescription, with a minimum of $100 copay and maximum of $150 copay (1-30 day supply)
- Days supplies greater than 30 are not allowed for specialty drugs (31-60 day supply)
- Days supplies greater than 30 are not allowed for specialty drugs (61-90 day supply)
Also check our Frequently Asked Questions
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