Your Veolia Benefits

Prescription Drugs

When you enroll in any Veolia medical plan, prescription drug coverage through Express Scripts is automatically included. Your prescription drug benefits will vary depending on which medical plan option you choose, the type of medication you are prescribed and whether you get it filled using a participating retail pharmacy or by home delivery. Certain preventive medications are also covered at 100%, as required by the Affordable Care Act (ACA). Click HERE for a list of those medications.

Comparison of Prescription Coverage through Medical Plans:

2019 Prescription Coverage

2020 Prescription Coverage

 

Express Scripts Formulary List and Exclusions:

2019 Express Scripts Formulary List with Exclusions

2020 Express Scripts Formulary List

2020 Express Scripts Exclusions

 

Consumer-Driven Healthcare (CDH) Preventative Medications:

2020 CDH Preventative Medications

Notice of Creditable Coverage:

The prescription drug program provided by the medical plan options offered by Veolia North America is considered Creditable Coverage, meaning on average the coverage is at least as good as standard Medicare prescription drug coverage.

2019 Notice of Creditable Coverage

2020 Notice of Creditable Coverage

 

Maintenance Medication Home Delivery:

If you take a maintenance medication, such as those used to treat high blood pressure or high cholesterol, you’ll need to make an important decision on where you fill that prescription.  At a retail pharmacy, you’ll pay the entire cost for a maintenance medication after the second purchase if you do not have that prescription filled through home delivery.  To avoid higher costs, take advantage of the home delivery pharmacy services from Express Scripts.

Advanced Utilization Management Programs:

The Advanced Utilization Management (AUM) programs help you choose the safest, most cost-effective drug and ensure that your use of the drug meets FDA guidelines.  Prior authorization ensures clinically appropriate use of medications.  Step therapy encourages use of clinically effective, lower cost generic and preferred brand alternatives before higher cost medications.  Drug quantity management aligns dispensing quantity with FDA-approved dosage guidelines and other supportive evidence.

Registering with Express Scripts and Pricing Medications:

To learn how to register online with Express Scripts, click HERE.

To learn how to price medications, click HERE.

Have More Questions?

Please contact Express Scripts Customer Service at (888) 792-7276 or online at express-scripts.com.

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