SAWS: Open Enrollment - Prescription
Aquifer Beaker

Edwards Aquifer

Aquifer Level 662.9'
11/20/17 - Official

The Edwards aquifer and its catchment area in the San Antonio region is about 8,000 square miles and includes all or part of 13 counties in south-central Texas.

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Year-Round Watering Hours

Watering with an irrigation system or sprinkler is allowed any day of the week before 11 a.m. or after 7 p.m.

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Aquifer Level 662.9 | Year-Round Watering Hours

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Benefits

2018 Prescription Drug Plan

SAWS provides prescription coverage for both the PPO Economy Plan and the EPO Plus plan. The prescription drug plan is administered through Express Scripts, Inc. There are no changes in prescription copays in 2018.

Prescription Drug Formulary Change — There are occasional updates to the formulary for the prescription drug plan. So, while the plan benefits are not changing and there are no changes to the copays, you could see changes to your medication costs.

2018 Prescription Drug Plan
Pharmacy Benefit Retail
Home Delivery
Diabetic Generic $0 $0
Other Generic $10 $25
Preferred Brand 30%, $25 Min / $50 Max $62.50
Non-preferred Brand 45%, $40 Min / $75 Max $100
Specialty (Generic & Brand) $80 $150

Pharmacies

Locate Express Scripts network pharmacies at www.express-scripts.com or call 1-844-553-9111. Express Scripts has over 55,000 independent and chain pharmacies nationwide.

Resources

Find helpful resources at express-scripts.com, including the ability to order refills and renewals; check order status; compare medication costs to find potential lower-cost options under your plan; receive timely medication-related safety alerts; check claims, balances and make payments; obtain forms, and much more.

Mobile App

Stay on track with the help of the Express Scripts Mobile App by downloading it from your mobile app store for free. From anywhere, anytime, you can check order status, refill and renew orders, locate a pharmacy and get directions, check drug interactions, set up medication alerts, access your virtual member ID card, and more.

Mail Order or Home Delivery

Receive up to a 90-day supply of long-term medication delivered directly to you for one home delivery copayment. A long-term medication is one that is taken to treat an ongoing condition, such as high blood pressure, high cholesterol, or diabetes. To enroll in the Home Delivery Program, visit express-scripts.com, sign in and choose which of your current maintenance medications you'd like to receive through home delivery. Or you can call Express Scripts at the toll-free number on your ID card or 1-844-553-9111.

Specialty Medications

Due to the high cost of specialty medications, these medications must be ordered through Express Scripts specialty pharmacy, Accredo. If you have any questions or need help filling a prescription for one of these medications, call Accredo's toll-free number, 1-800-803-2523, Monday through Friday, 7 a.m. to 8 p.m. and Saturday 8 a.m. to noon CST. Specialty medications treat complex conditions such as hepatitis C, multiple sclerosis, cancer, rheumatoid arthritis, etc., and often require special handling, storage and administration.

Prior Authorization

Some medications require that you obtain approval through a coverage review before the medication can be covered under the plan. The coverage review process for prior authorization will allow Express Scripts to obtain more information about your treatment (information that is not available on your original prescription) in determining whether a given medication qualifies for coverage under your plan. Only your physician can provide the additional information.

Remember to discuss your prescription regimen periodically with your doctor to ensure it still meets your needs. Consider generic prescriptions and mail-order to save on some of your out-of-pocket costs. The 2018 Plan Summary provides more details of out-of-pocket costs.


In this section:

Pharmacy Downloads

2018 National Preferred Formulary

A list of the most commonly prescribed drugs covered by Express Scripts.

2018 National Preferred Formulary New Exclusions

The excluded medications shown here will not be covered on the Express Scripts drug list BEGINNING JANUARY 1, 2018. In most cases, if you fill a prescription for one of these drugs after January 1, 2018, you will pay the full retail price.

2018 Specialty Drug List

Accredo Pharmacy for Specialty Drugs

Accredo, an Express Scripts specialty pharmacy, works with specialty medications.

Adult Vaccinations

Get vaccinated at a network pharmacy near you.

Ask the Pharmacist: Type 1 Diabetes

Learn more about Type 1 diabetes.

Express Scripts Mobile App

The Express Scripts mobile app helps you stay on track with instant access to your personal medication information – anytime, anywhere.

Express-Scripts.com

Helpful information is a click away at Express-Scripts.com.

Generic Medications

Generic drugs are safe, effective alternatives to brand-name drugs – and typically cost much less.

Guide to Your Preferred Drug List

Your preferred drug list, sometimes called a formulary, is a list of brand-name and generic medications that are preferred by your plan.

Home Delivery

Express Scripts offers delivery of maintenance medications — those you need on a long-term basis — right to your door. Learn more here.

Home Delivery Checklist

Get up to a 90-day supply of your medicine for a single home delivery copayment by using home delivery for the prescriptions you take regularly.

Mail Order Form

Use this form to order prescriptions via Express Scripts' home delivery program.

Maintenance Medications

Consider ordering a 90-day supply of maintenance medications.

Prior Authorization FAQs

When your pharmacist tells you that your prescription needs a prior authorization, Express Scripts needs more information to know if your plan covers the drug.

Voluntary Smart90

You can save on maintenance medications with a 90-day supply at Walgreens.





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