Can members get reimbursed for drugs they got from a pharmacy that is not in the network?
If their benefits include out-of-network coverage, members can get reimbursed for prescriptions filled at a non-network pharmacy, but it may cost them more. Members should take a claim form with them to the out-of-network pharmacy, complete it and mail the completed form to the address listed on the form. They can download a claim form by accessing the Express Scripts website in the “My Pharmacy” section. No additional login is required. Then, they should select the Claim Reimbursement Form” in the “Printable Forms” section. Members can also call the phone number on the back of their health plan ID cards.
