What You Need To Know About the New Express Scripts Prescription Drug Programs 

Effective July 1, 2008, Express Scripts will implement three new programs for the Anthem Blue Cross PPO plans.

Step Therapy

Step Therapy is a program to promote the use of lower cost but equally effective generic drugs before you "step up" to higher cost brand name drugs. 

• Express Scripts Step Therapy Brochure
• Express Scripts Northrop Grumman Step Therapy Brochure
• Step Therapy - Member FAQs
• Express Scripts Step Therapy drug list

Generics Preferred

Under the Generics Preferred program, prescriptions automatically will be filled with a chemically equivalent generic drug, if available and appropriate.

• Express Scripts Generics Preferred Brochure
• Express Scripts Generics Preferred drug list

Exclusive Home Delivery

With Exclusive Home Delivery, members must obtain maintenance prescription drugs used to treat an ongoing medical condition through Express Scripts mail order service.

• Express Scripts Exclusive Home Delivery Brochure
• Express Scripts Maintenance Medications

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Prescription Drug Coverage in the EPO and PPO Plans under the Northrop Grumman Health Plan

Your cost varies depending on the type of prescription drug you purchase

Type of Drug	Network Retail Pharmacy (up to 30-day supply)	Mail Service Pharmacy (up to 90-day supply)
Generic	$5 copay or 10% coinsurance, whichever is greater	$5 copay or 10% coinsurance, whichever is greater
Preferred Brand	$20 copay or 10% coinsurance, whichever is greater	$20 copay or 10% coinsurance, whichever is greater
Brand	$40 copay or 10% coinsurance, whichever is greater	$40 copay or 10% coinsurance, whichever is greater

In the PPOs, you can go to a non-network pharmacy and pay 50% of the eligible cost. (Non-network coverage is not available in the EPOs).

The annual out-of-pocket maximum for prescription drugs:

• In the PPOs - $2,000/individual and $4,000/family
• In the EPOs - $1,500/individual and $3,000/family