Prescription

Express Scripts
Campbell County's prescription drug coverage benefit is administrated by Express Scripts. Both a mail order and a retail pharmacy service are available. Contact Express Scripts at 1-800-451-6245, 24 hours a day, 7 days a week or visit their website.

Pricing Structure
Brand Prescription Plan Costs Effective January 1
Brand Specific Mail order three month supply Patient pays $40 plus 20% of balance, subject to max total copay of $160
Retail copay per month Patient pays $20 plus 20% of balance, subject to max total copay of $80
Brand Nonspecific

Mail order three month supply Patient pays $75 plus 30% of balance, subject to max total copay of $300
Retail copay per month Patient pays $35 plus 30% of balance, subject to max total copay of $150
Generic Mail order three month supply $15
Retail copay per month $10

Examples
Example One
If you take a brand specific prescription with the original price of $100. The patient would pay:
  • $20: copay
  • $16: (20% of $80.00, the remaining balance)
  • $36: total cost to employee
Example Two
If you take a brand nonspecific prescription with the original price of $200. The patient would pay:
  • $35.00: copay
  • $49.50: (30% of 165.00, the remaining balance)
  • $84.50: total cost to employee
Additional Information
More information regarding benefits can be found in the personnel and benefit binders as well as by contacting the Human Resources Department. All benefits are subject to eligibility requirements and may change at any time. In the case of a difference between the above listed information and the master policies, the master policies will be controlling.