Express Scripts Updates Its List of Covered Medications Effective July 1, 2018

Express Scripts, the Health Plan’s prescription drug benefit manager, has updated its list of covered medications effective July 1, 2018. Express Scripts periodically reviews its list of covered medications, called the National Preferred Formulary, and may exclude medications when clinically equivalent alternatives are available and offer significant cost savings to you. Changes to the formulary affect which medications are covered under the DGA-Producer Health Plan and how much you pay out of pocket for certain prescriptions.

Less than one percent of Health Plan participants will be affected by the updated list. If you are taking a maintenance medication, be sure to review the new list in case the status of your medication has changed. If a medication you currently take appears on the list of excluded medications, Express Scripts should already have notified you by mail so that you can talk with your doctor about a preferred alternative. The National Preferred Formulary will continue to offer access to safe and effective medications as alternatives to these drugs.

The complete 2018 list of excluded medications along with preferred alternatives is available at www.dgaplans.org/2018_Formulary. For information on whether this change will affect your current prescriptions, log on to your Express Scripts account at express-scripts.com/covered. If you have any questions, please call Express Scripts at (800) 987-7828.