Express Scripts Medicare at 1.800.758.4574; 1.800.758.4570 the year. It represents an abbreviated version of the drug list (formulary) that is at the core of your prescription plan. The Apple logo and App Store are trademarks of Apple Inc. Google Play and the Google Play logo are trademarks of Google LLC. Express Scripts and E logo are trademarks of Express Scripts Strategic Development, Inc. TRICARE is a registered trademark of the Department of Defense, Defense Health Agency. 2020 Express Scripts Medicare - Choice (PDP) Formulary. All Rights Reserved. 도움을 원하시면 귀하의 ID 카드에 나와 있는 회원 서비스 번호로 전화하십시오.ﺷﻤﺎ ﺣﻖ دارﯾﺪ ﮐﮫ اﯾﻦ اطﻼﻋﺎت و راھﻨﻤﺎﯾﯽ را ﺑﮫ راﯾﮕﺎن ﺑﮫ زﺑﺎن ﺧﻮد درﯾﺎﻓﺖ ﮐﻨﯿﺪ.

121 0 obj <>stream Tawagan ang numero ng Member Services (Mga Serbisyo para sa Miyembro) na nasa inyong ID kard para sa tulong.Quý vị có quyền nhận thông tin này và được trợ giúp bằng ngôn ngữ của quý vị miễn phí. In addition to These drugs have a higher copayment and generally are only available via home delivery. endstream endobj startxref 102 0 obj <>/Encrypt 85 0 R/Filter/FlateDecode/ID[<5D2812A0C1E3C5F61A61B72EDFE260BE><778956C46BCE064F9380151EC397C244>]/Index[84 38]/Info 83 0 R/Length 92/Prev 184696/Root 86 0 R/Size 122/Type/XRef/W[1 2 1]>>stream These drugs have a higher copayment and generally are only available via home delivery.If you can’t find the answer to your question, please © 2020 Express Scripts. Für Hilfe rufen Sie die Nummer der Mitgliederbetreuung auf Ihrem Ausweis an.Ou gen dwa pou jwenn enfòmasyon sa a ak èd nan lang ou gratis. 2020 Express Scripts Basic Formulary List The 2020 Basic Formulary drug list is shown below. h�bbd``b`f "H0m �/�{5�`�b%�X� b �[$�' E !8� \E@�s-��tg`bdx2������U� �? Some drugs are covered but not preferred, and are categorized as Non-Formulary. Para obtener ayuda, llame al número de Servicios al Miembro que figura en su tarjeta de identificación.May karapatan kayong makuha ang impormasyong ito at matulungan kayo sa inyong wika nang libre. Below is the Formulary, or drug list, for Express Scripts Medicare - Choice (PDP) from Medco Containment Life And Medco Containment Ny. endstream endobj 85 0 obj <

The list is not all-inclusive and does not guarantee coverage.

The formulary is the list of drugs included in your prescription plan. Inclusion on the list does not guarantee coverage. 84 0 obj <> endobj ��P�����ik�c}��/��B|�@��! Zadzwoń pod numer Działu Obsługi Członków znajdujący się na Twojej legitymacji w celu uzyskania pomocy.Tem o direito de receber esta informação e ajuda no seu idioma, gratuitamente.

Before using those credentials to access Express Scripts, you must have activated your online account at express-scripts.com.Before using your DS Logon credentials to access your TRICARE Pharmacy Benefits, you must have first activated your online account at express-scripts.com.We comply with applicable Federal civil rights laws and do not discriminate on the basis of race, color, national origin, age, disability, or sex.ﯾك اﻟﺣق ﻓﻲ اﻟﺣﺻول ﻋﻠﻰ ھذه اﻟﻣﻌﻠوﻣﺎت واﻟﻣﺳﺎﻋدة ﻓﻲ ﻟﻐﺗك ﻣﺟﺎﻧﺎ ً.

Rele nimewo Sèvis Manm ki sou kat idantifikasyon w lan pou jwenn èd.Lei ha il diritto di ottenere queste informazioni e assistenza nella Sua lingua gratuitamente. The TRICARE Formulary is a list of brand-name and generic drugs available through the TRICARE pharmacy benefit.

For more recent information or to price a medication, you can visit us on the Web at ® express-scripts.com. 1.800.758.4574; | | Express Scripts Medicare (PDP) 2020 Formulary (List Covered Drugs) PLEASE READ: THIS DOCUMENT CONTAINS INFORMATION ABOUT THE DRUGS WE COVER IN THIS PLAN Formulary ID Number: 20118, Version 9 This formulary was updated on 7/28/2020. En cas de besoin, veuillez contacter le numéro d’assistance réservé aux membres figurant sur votre carte d’identification.Sie haben das Recht, diese Informationen und Hilfe in Ihrer Sprache kostenlos zu erhalten. 0 Express Scripts Medicare (PDP) 2020 Formulary (List of Covered Drugs) PLEASE READ: THIS DOCUMENT CONTAINS INFORMATION ABOUT SOME OF THE DRUGS COVERED BY THIS PLAN Formulary ID Number: 20064, v6 This formulary was updated on 08/19/2019. R DS Logon is a secure, self-service logon credential that allows those affiliated with DOD or VA to access multiple websites using a single username and password. %%EOF A formulary is a list of prescription medications that are covered under Medco Containment Life And Medco Containment Ny's In Pennsylvania, West Virginia. All Rights Reserved. Para mais ajuda, contacte o número da Assistência a membros que consta no seu cartão de identificação.У вас есть право получить эту информацию на своем языке бесплатно. 2020 Express Scripts National Preferred Formulary List The 2020 National Preferred Formulary drug list is shown below. )��ܢ��J The TRICARE Formulary is a list of brand-name and generic drugs available through the TRICARE pharmacy benefit. Some drugs are covered but not preferred, and are categorized as Non-Formulary. y���z"c��8K:�4z� 2020 Express Scripts National Preferred Formulary The following is a list of the most commonly prescribed drugs. The formulary is the list of drugs included in your prescription plan. Hãy gọi số Dịch vụ Thành viên trên thẻ ID của quý vị để được trợ giúp.URAC Accredited Pharmacy Benefit Management, Expires 11/01/2022URAC Accredited Mail Service Pharmacy Expires 11/01/2020 Inclusion on the list does not guarantee coverage.

Позвоните в отделение обслуживания клиентов по номеру, указанному на вашей идентификационной карте, для получения помощи.Usted tiene derecho a recibir esta información, así como ayuda, en su idioma de manera gratuita. اﺗﺻل ﺑرﻗم ﺧدﻣﺎت اﻷﻋﺿﺎء ﻋﻠﻰ ﺑطﺎﻗﺔ اﻟﮭوﯾﺔ اﻟﺧﺎﺻﺔ ﺑكﻟﻠﺣﺻول ﻋﻠﻰ ﻣﺳﺎﻋدة.Vous avez droit d’obtenir ces informations ainsi qu’un service d’assistance gratuit dans votre langue. A formulary is a list of covered drugs selected by Express Scripts Medicare in consultation with a team of healthcare providers, which represents the prescription therapies believed to be a necessary part of a �cQai�� W�Ƿ�'D7�ā��;ow�|�U=c�o��j��D�'|5��A ��:�᫝Ĥ� W\'�3� v��^�'Ģ�D���� �z�&���(���Z�] Your provider can either call the Express-Scripts prior authorization line @ 1-866-684-4488 to establish medical necessity or he/she can fill out the medical necessity form that is linked to that medication on the Formulary Search Tool and fax it to Express-Scripts.