Are prescription coupons accepted by the Express Scripts PharmacySM?
No. Manufacturers' coupons cannot be used to reduce home delivery copayments on Express Scripts Pharmacy orders. It's possible that you may be able to receive a rebate or partial rebate from the medication's manufacturer. If you have such a coupon, please review the information on it or on the manufacturer's website for instructions on requesting a rebate. These coupon offers are not available for patients enrolled in Medicare, Medicaid, or other federal programs, or where prohibited by law.
I recently mailed in a new order with a coupon to the Express Scripts Pharmacy. What will happen to my coupon?
Any coupons submitted with an order will be returned to you explaining why the coupon cannot be accepted.
Can I use a manufacturer's coupon with my prescription purchase towards my copayment?
What are the drawbacks, if any, of using prescription coupons?
Certain retail pharmacies do accept manufacturers' coupons. Your health plan does not encourage coupon use, however, because it could lead to higher costs for you later. Coupons cannot be included with home delivery prescriptions, although you may be able to send your coupon to the manufacturer for a rebate or partial rebate, if the manufacturer allows it. These coupon offers are not available for patients enrolled in Medicare, Medicaid, or other federal programs, or where prohibited by law.
If you use a coupon from a brand manufacturer, you'll pay less for that brand-name drug at a retail pharmacy, but your plan will continue to pay the same high share of the brand's cost. (Brand drugs often cost more than generic medications.) Many health plans and employers rely on generics to keep healthcare premiums under control. A generic contains the same active ingredients; is the same strength, purity and quality; has the same dosage form (such as tablet, capsule or liquid); and is taken the same way as its brand-name counterpart. The savings that plans receive from generics help them continue providing prescription coverage. For example, the generic version of a popular drug might cost your plan $816 a year. In contrast, the brand version of the same drug costs your plan $1,617 each year—nearly double—and that doesn't change if you use a coupon.
If a plan's members use coupons to keep getting expensive brand-name drugs, the plan can't take advantage of those savings, which may force it to raise its members' healthcare premiums, prescription copayments, or both. Any short-term gains that members receive by using coupons might soon be outweighed by long-term strains on their budget.
Ultimately, you and your health plan save the most when you fill prescriptions with generic drugs whenever possible. If a generic isn't available, consider using a brand-name drug that's less expensive. Ask your doctor which alternative would be right for you. For medications you need to treat an ongoing condition, such as high blood pressure or high cholesterol, you'll typically pay even less by using your home delivery service.