IQVIA Benefits Handbook
USING MAIL ORDER
Mail order is designed to provide you with discounted long-term maintenance drugs through the mail. Some examples of long-term maintenance medications are those used to control or treat:
If you use maintenance medications, you are required to use the Express Scripts or Kaiser mail order pharmacy. With Express Scripts, you can also use the CVS Smart90 program and fill your maintenance medications at a CVS retail pharmacy with the same benefits as you receive at Express Scripts mail order pharmacy.
Using Mail Order
When you're ready to use Express Scripts mail order pharmacy or the Kaiser mail order pharmacy for the first time, follow these steps:
- Ask your doctor for two prescriptions: One for at least 90 days and the other for short-term use you can fill at a retail network pharmacy while you process your mail order.
- Complete a mail service order form and send it to Express Scripts or Kaiser.
- When your medication arrives, be sure to pay your invoice promptly. Credit cards, checks and money orders are accepted.
- Your medications will arrive about 3-5 business days after your order is received. If your prescription is new, it can take 7-14 days business days.
- When it's time for a refill, you can use the mail service order form and pre-addressed envelope you received with your order. Or, you can go online or order by phone.
CVS Smart90 Program
The CVS Smart90 program offers two ways to get a 90-day supply of your long-term maintenance medication. You can conveniently fill these prescriptions through the Express Scripts mail order pharmacy or any CVS network pharmacy. Your copay/coinsurance for your 90-day supply of medication will be the same whether you fill your prescriptions through home delivery or at a CVS network pharmacy.
Mandatory Use of Mail Order Pharmacy
Keep in mind, that you are required to use Express Scripts or Kaiser mail order (or through the CVS Smart90 program if you have Express Scripts) after your first two fills of a maintenance medication (up to a 30-day supply) at a retail pharmacy in order to receive coverage.