Here’s what you need to know.

What’s changing?

If you have prescription and pharmacy network coverage through Medica, it is important that you know we’re making changes to our pharmacy program.

Starting January 1, 2020, Medica’s pharmacy program will be administered by Express Scripts® (ESI). ESI will maintain Medica’s List of Covered Drugs (formulary), process claims and help us better coordinate your care.

Why are these changes happening?

These changes will help keep health care costs as low as possible for everyone, while continuing to make sure you have access to safe, affordable and effective prescriptions.

Coverage changes

Some members will see changes in their prescription coverage for certain drugs and supplies. Those affected by coverage changes, will receive a letter with details about specific changes. If you receive this important letter, talk with your doctor or pharmacist about your treatment options.

View 2020 Commercial Drug List with Affordable Care Act Preventive Drugs (PDF)
View 2020 Medica Preventive Drug List (PDF)
View 2020 Specialty Drug List (PDF)

Your new ID card

Watch for your new ID card to arrive in the mail before the end of the year. Your card will include new information for your pharmacist. Starting January 1, bring your new card to the pharmacy so that your pharmacist can update your information and make sure you receive the right coverage for your prescriptions.

Large pharmacy network

You’ll have access to a broad network of pharmacies – including chain pharmacies (Walgreens, CVS Pharmacy, etc.) and neighborhood pharmacies. Most members won’t see changes to their pharmacy network access.

Pharmacy location

24/7 access to digital tools & resources

COMING SOON! Starting January 1, 2020, download the free “Express Scripts®” app from the Apple AppStore, or get it on Google Play. You can access these same tools and resources through mymedica.com.

Express Scripts App Screenshot

Continued Prescription Support

Digital ID Card

Be sure to show your Medica ID card each time you go to the pharmacy. That way, you’ll receive the right coverage for your prescriptions. Can’t find your ID card? View or print your digital pharmacy ID.

Find a Pharmacy

Search an extensive list of all retail pharmacies in your plan and find the most convenient locations. You can fill your prescription at any in-network pharmacy.

Search our 2020 pharmacy network

Price a Medication Tool

Find out if your drug is covered.

Search our 2020 drug cost tool

Prescription Mail Services

Filling long-term drugs through home delivery using Express Scripts PharmacySM may be a convenient option. You can receive a 90-day supply of your medication through the mail with no shipping or handling fees.

Learn More

Specialty Drugs

Specialty drugs are used to treat certain complex health problems. These drugs tend to be very expensive and may need special handling. Medica continues to offer access to specialty drugs through Accredo Specialty Pharmacy.

Learn more

Here are some things you can do starting January 1st.

  1. Talk with your doctor or pharmacist about any changes to your prescriptions.
  2. Use your new ID card.
  3. Download the mobile app and register to connect your pharmacy benefit information, or visit the ESI website through mymedica.com for your access to view and manage your prescriptions.
Have more questions?
View the FAQs.
Visit FAQs
Speak with Medica

Have questions about these changes? Give us a call.

Toll free: 1-866-398-7389 (TTY: 711)
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