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​​​​​​​Prescription Coverage​



 Content Editor

 

 Prescription Coverage Information

Prescription coverage is a component of the Bronson medical plan you enroll in. You may fill medications:
1.) At a Bronson Outpatient Pharmacy
2.) At a retail pharmacy such as Walgreens, CVS, Walmart, or Meijer, or 
3.) Through Express Scripts mail service

Filling your prescriptions at a Bronson pharmacy will help your healthcare dollars go further. Copays at Bronson pharmacies are lower than copays at retail pharmacies.​​

Prescription How Prescriptions Work with Med Plan.png  

Specialty Medications

Some prescriptions are required to fill at a Bronson Outpatient Pharmacy to be covered by the Plan. Most often this applies to specialty medications. This helps keep costs down so that savings can be passed on to you. If you're not sure medication is required to fill at a B​ronson facility, please contact the Bronson Pharmacy department at 269-341-6990 or find your medication listed online: www.express-scripts.com/BronsonBenefits.​ 

Out-Of-Area Employees: 
If a medication is required to fill at a Bronson Outpatient Pharmacy, medications can be mailed to you from Bronson. Bronson currently offers mail service to those who live in Michgian, Indiana, and Ohio. If you do not live in one of these states, contact HR at 269-341-6310 and an override can be placed on your account to get you your medication in the most efficient way.


Generic Prescription Drugs

If a medication is a preferred or non-preferred brand name drug and there is a generic equivalent is available, you will pay the difference in cost between the brand name drug and the generic in addition to the appropriate co-pay or deductible amount. This applies to any pharmacy that fills the medication.

Preferred Formulary Exclusions

Please review the Exclusions list on the Documents tab. If your medication is listed, it will not be covered by the Plan. In most cases, if you fill a prescription for one of these drugs, you will pay the full retail price. To avoid paying full price, talk to your doctor about prescribing one of the alternatives listed.

Prior Authorization

If your medication is listed on the Prior Authorization list, your provider will need to complete a Prior Authorization before the medication can be covered by the Plan. Direct your provider to contact Express Scripts. Prior Authorizations can be reviewed 24 hours a day, 7 days a week so a determination can be made right away.

Fertility Prescription Drugs​

Fertility drugs, or those that have an infertility diagnosis, are available for fill at a Bronson Outpatient Pharmacy only.

Prescription Copay Schedule.png

  
  
2022 Prescription Prior Auth Step Therapy Limits List.pdf
  
2023 HDHP Prescription Benefits.pdf
  
2023 National Preferred Formulary with Exclusion List.pdf
  
2023 PPO Prescription Benefits.pdf
  
2023 Retiree Prescription Benefits.pdf
  
Benefits Prescription Drug Quantity Management Overview.pdf
  
Benefits Prescription Prior Authorization Overview.pdf
  
Benefits Prescription Step Therapy Overview.pdf
  
Preferred Formulary Exclusions 07.01.22.pdf
  
  
Notes
  
Click here to see where Bronson's four pharmacies are located.
  
Additional prescription savings with a CleverRx card.
  
Prescription Coverage carrier.

Member ID cards (separate from your medical card) will be mailed about 3 weeks after enrolling in the plan. Need a new ID card? Contact Express Scripts.

*Reminder: some prescriptions require to fill at a Bronson pharmacy to be covered on the Bronson plan. Please contact the Bronson pharmacy department at 1-269-341-6990 to check if your medication falls in this category.
  
Find coupons and discounts for your local pharmacies.
  
If you are benefit eligible, use this website to calculate the cost of your prescription based on your plan and whether or not your deductible has been met.
  
If you are a Retiree, use this website to calculate the cost of your prescription based on whether or not your deductible has been met.
  
If you are a Bronson Travel staff, use this website to calculate the cost of your prescription based on whether or not your deductible has been met.
  
View this short video from ALEX to understand why generic drugs save you the most money on prescription costs.
  
View this short video from ALEX to understand why your prescription may cost more. Also included are ways to save on medications.


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