Prescription
Express Scripts, Inc. (ESI) is the prescription provider for Prince George's County employees.
- Coverage is available at participating retail pharmacies
- The plan has a mandatory generic requirement for brand medications that have a generic alternative.
- Mandatory mail order requirement for all maintenance medications.
The health and well-being of employees is a priority in Prince George’s County Government. All of the benefits available to you reflect the County’s commitment to providing high-quality, affordable medical plans and represent a significant component of your total rewards. Access to prescription drugs is a vital part of our medical coverage. The County’s prescription drug benefit through Express Scripts has a mandatory home delivery program for all maintenance medications.
Maintenance medications are prescription drugs that you need to take regularly. Drugs that treat ongoing conditions or needs like asthma, diabetes, birth control, high cholesterol, high blood pressure and arthritis are usually considered maintenance medications. A maintenance medication can also be a drug that you take for three to six months and then discontinue. For example, an allergy medication that you take throughout the spring and summer could be considered a maintenance medication.
Contact Express Scripts
- Member Services: 1-800-711-0917
- Website: www.express-scripts.com
Plan Documents
- Member Services: 1-800-711-0917
| 2023 Plan Documents | 2022 Plan Documents |
|---|---|
| 2023 Express Scripts Summary of Benefits (PDF) | 2022 Express Scripts Summary of Benefits (PDF) |
| National Preferred Formulary List (PDF) | National Preferred Formulary List (PDF) |
| Generics Brochure (PDF) | Generics Brochure (PDF) |
| Print and Digital ID Cards (PDF) |
Express Scripts Mobile App (PDF) |
| Take Control of Your Prescription Plan (PDF) | Take Control of Your Prescription Plan (PDF) |
| Home Delivery Form (PDF) | Home Delivery Form (PDF) |
Rates
2023 Active Employee Prescription Plan Rates (Paid Biweekly)
| Express Scripts | |
|---|---|
| Self Only | $14.28 |
| Self + 1 | $28.76 |
| Family | $36.74 |
2023 Crossing Guard Prescription Plan Rates (Paid Biweekly)
| Express Scripts | |
|---|---|
| Self Only | $18.56 |
| Self + 1 | $37.38 |
| Family | $47.76 |
2022 Active Employee Prescription Plan Rates (Paid Biweekly)
| Express Scripts | |
|---|---|
| Self Only | $13.36 |
| Self + 1 | $26.90 |
| Family | $34.36 |
2022 Crossing Guard Prescription Plan Rates (Paid Biweekly)
| Express Scripts | |
|---|---|
| Self Only | $17.36 |
| Self + 1 | $34.97 |
| Family | $44.67 |
Prescription Opt-Out Credit
The County offers employees who elect not to have prescription coverage, enrolled in an outside plan, or covered by the County as a result of marriage to another County employee or retiree the opportunity to earn a stipend of $200 annually. Proof of coverage is not required.