Pharmacy networks and coverage
We can help you search for nearby pharmacies in your prescription plan’s network with our Find a Pharmacy tool. Just like not all doctors are covered by your health insurance, not all pharmacies are covered by your pharmacy benefits.
If the tool is available through your plan, you can log in and go to Find a Pharmacy under Prescriptions in the main menu. You can search for nearby network pharmacies by ZIP code or city and state. You can also find a list of the services available at each pharmacy.
We’re here to help you get the right medication and days’ supply through the right pharmacy for your plan.
After you register or login, we’ll give you personalized money-saving recommendations based on your plan. You could save an average of 32% by taking advantage of everything your plan has to offer.
We also have an easy-to-use Price a Medication tool to compare pricing and coverage information. If the tool is available through your plan, you can log in and go to Price a Medication under Prescriptions in the main menu. Just select a member of your plan, enter the medication name, and search. Depending on your plan, we can also use your ZIP code to find nearby network pharmacies.
The results will tell you whether the medication is covered and give you pricing information.
If you’re getting a new prescription, before your doctor prescribes a medication, ask if they’re connected to Real-Time Prescription Benefit so they can check for the most affordable pricing and help avoid a coverage review. You can also use your online account or our mobile app to check pricing and coverage.
If your plan provides a choice of pharmacies, then you can decide how you want to get your medications. If the Find a Pharmacy tool is available through your plan, you can log in and go to Find a Pharmacy under Prescriptions in the main menu. You can search for nearby network pharmacies by ZIP code or city and state. You can also find a list of the services available at each pharmacy.
Short-term medications like antibiotics can be filled at a network pharmacy.
Long-term medications or medications you take regularly can be filled at a network pharmacy or if included in your plan, from Express Scripts Pharmacy by Evernorth®.
Here's what you'd get with each choice:
Pick up from a local retail pharmacy
- Get up to a 3-month supply of your medication with each refill
- Choice of network pharmacies that work best for you
- Transfer your prescription in-store, by phone or online
- Access to plan-covered services like vaccines and at-home COVID-19 tests if included in your plan
Delivery from Express Scripts Pharmacy
- Get up to a 3-month supply of your medication with each refill
- Free standard shipping is included in your plan
- Transfer prescriptions easily online, by phone or via Express Scripts® mobile app
- Auto-refills and refill reminders, if available
- Pharmacists available by phone 24/7
If you couldn’t use your prescription ID card when paying for a prescription, you may have paid more than you need to for your medication. If your plan allows, you can submit a claim to be reimbursed for the medication. Your plan will consider your claim, based on its specific rules. For example, your plan's rules for covering the cost of the medication might be different if the pharmacy is not in your network.
You may be able to submit a Prescription Drug Reimbursement Form if you paid full price for medication at a pharmacy because:
- The pharmacy did not accept your prescription ID card by mistake.
- Your plan requires you to submit a claim form for all medication you buy at a local pharmacy.
- You had to buy medication at a pharmacy outside your network (for example, if you need to fill a new prescription while you're on a trip).
- You hadn’t yet received your prescription ID card.
- Please note that once you register for an Express Scripts account, you can access your digital ID card 24/7 and keep a copy on your mobile device.
We want to make sure you always have the plan information you need. That’s why we send a welcome communication to show you how to access to your digital prescription ID 24/7. We also recommend using your Express Scripts account or talking to your doctor to make sure a pharmacy is in your network before you try to fill a prescription there. Most plans have access to thousands of network pharmacies across the country.
If you go to an out-of-network pharmacy, you may end up paying more or the full cost for your medication. Your plan may offer reimbursement if you had to buy medication at a pharmacy outside your network (for example, if you need to fill a new prescription while you're on a trip).
To avoid paying more than you have to for medication, we can help you find a convenient network pharmacy. We recommend using your Express Scripts account or talking to your doctor to make sure a pharmacy is in your network before you try to fill a prescription there. Most plans have access to thousands of network pharmacies across the country.
We’ll also alert you if you could save with a preferred pharmacy according to your plan.
Some of the most common vaccinations like flu and COVID-19 vaccines may be covered through your prescription plan. Log in to check your plan’s coverage of vaccines.
If vaccines are covered, you and those covered by your plan can go to a local participating pharmacy to get vaccinated. Please note, every state has specific regulations regarding age restrictions, which vaccines can be administered by a certified pharmacist and if a prescription is required.
If your plan offers coverage, you can order at-home COVID-19 tests from Express Scripts Pharmacy by Evernorth® or a participating network pharmacy. Log in to check your plan’s coverage and copay information.
Go to our COVID-19 Resource Center for answers to common questions about at-home test, vaccines and treatment options.
Glucagon-like peptide-1 receptor agonists (GLP-1s) or semaglutide are usually prescribed for diabetes and obesity and may be covered by your plan. GLP-1s and medications with the active ingredient semaglutide are a class of medications that mimic a hormone released in the intestines after a meal. Its effect impacts feelings of fullness and appetite.
Use your Express Scripts online account to see if these medications are covered by your plan.
Glucagon-like peptide-1 receptor agonists (GLP-1s) are a class of medications that mimic a hormone released in the intestines after a meal. Its effect impacts feelings of fullness and appetite.
Driven by diabetes and obesity usage, GLP-1s are in high demand across the nation.
Subsequently, the U.S. Food and Drug Administration (FDA) has reported a shortage of GLP-1s ─ or medications containing semaglutide ─ in their Current Drug Shortages database.
Express Scripts does not have access to inventory data for network pharmacies. We recommend contacting your local retail pharmacy to ask whether they have any medication in stock.