Prescriptions

Harvard University Group Health Plan offers a prescription drug benefit through Express Scripts. If you have not received your Express Scripts ID cards, contact Member Services. Please note that only the name of the subscriber will appear on the ID cards.

Simply show your prescription ID card at a participating pharmacy and your copayment will be based on the drug tier. To request additional ID cards, please contact Express Scripts at 877-787-8684.

What your prescription drug copayment covers

A copayment is a set price you pay the pharmacy for up to a 30-day supply of your prescription drug. You pay the copayment even if your physician prescribes less than a 30-day supply of your medication.

PRESCRIPTION
BENEFIT

ALL NON-UNION and UNION PLANS

Tier 1
Most generic drugs
$7
Tier 2
Preferred brand name drugs
$20
Tier 3
Non-preferred brand name drugs 
$45

Please note, with the HDHP you must meet the plan deductible before the plan covers prescription drug costs. Once you meet the deductible, the same copayment structure applies.

Traveling Within the U.S.

You can fill or refill up to a 30 day supply of most prescriptions at any participating pharmacy in the United States. Your copayment(s) or drug benefits do not change.
 
If you purchase medication without using your member ID card you may file for reimbursement through Express Scripts. You will be reimbursed at the plan allowed amount minus the applicable copayment. Submit a prescription drug claim form to receive reimbursement.
 
Limitations and restrictions may apply to certain medications. 

Traveling Outside the U.S.

Prescriptions that are purchased out of the country are reimbursed at the plan allowed amount minus the applicable copayment. Submit a prescription drug claim form to receive reimbursement.
 
Limitations and restrictions may apply to certain medications.