Benefit Updates for 2024

Date: 02/08/24

Preferred Pharmacy Network

Our Medicare Advantage* and PPO plans offer a robust, dependable pharmacy network with over 60,000 pharmacies in network – many offering preferred cost-sharing!  A member’s cost-share may be lower when prescriptions are filled through one of our preferred retail pharmacies or our preferred mail order pharmacy, Express Scripts. However, members may have prescriptions filled at any network pharmacy.  Walgreens and CVS plus grocers remain within the preferred pharmacy network for 2024. 

Amazon is no longer a preferred pharmacy but remains a standard in-network pharmacy.

Remember, some retail pharmacies offer both retail and home delivery options. If a member fills a prescription with a retail pharmacy that also offers home delivery, the retail cost share will apply.

Effective January 1, 2024, Express Scripts Pharmacy® replaced CVS Caremark® as our preferred mail order provider and CVS Caremark Mail Order is out-of-network.

For existing mail order users:

• Most open prescription refills will be automatically transferred to Express Scripts.  

• Refills of controlled drugs will NOT be automatically transferred.  Members will need to request new prescriptions from their providers.

• For new mail order prescriptions on or after January 1, 2024, members may do one of the following:

Visit express-scripts.com/rx to register or sign in, then follow the guided steps to request a prescription.

Call Express Scripts Pharmacy at (800) 282-2881

Formulary Updates Effective January 1, 2024

Members may receive up to a 100-days supply of their medications with each fill.

Popular vitamins like folic acid, vitamin B12, and vitamin D2 were added to the Tier 1 drug list (formulary). 

 

*Preferred pharmacy network not available for Wellcare D-SNPs.