What is the Diabetes Care Value Program?
- diabetes-related prescriptions be filled with a 90-day supply rather than a 30-day supply, and
- diabetes-related prescriptions be filled through Express Scripts Home Delivery (mail-order) or a Walgreens pharmacy (retail)
When did the Diabetes Care Value Program begin?
Why is the Diabetes Value Care Program being implemented?
One of the greatest problems that diabetic patients experience is not taking their prescribed medication. Express Scripts estimates that being non-adherent with diabetes medications on average increases total healthcare costs by $4,690 per diabetic patient, per year. When receiving a 90-day supply of medicine, members: Are less likely to miss a dose, • Have fewer refills to remember to order, and • Have a savings of one copayment for each prescription filled by Express Scripts Home Delivery.
In addition to financial terms, limiting the network for diabetic medications to Express Scripts Home Delivery and Walgreens offers the following benefits: • With Express Scripts Home Delivery, you will be able to speak with a pharmacist 24/7 if you have questions about your medicine. You can also talk with specialist pharmacists in the Express Scripts Diabetes Therapeutic Resource Center who have advanced training on medicines used to treat diabetes and get answers about drug interactions, administration techniques, side effects and even food interactions. • Walgreens pharmacists will reach out to members that start or transfer a diabetes medication for a phone consultation to provide one-on-one counseling.
Do I need to get a new prescription from my doctor for my diabetic medications?
Does this mean I can only use specific pharmacies to get my diabetes drugs?
Am I required to get a 90-day supply and fill the prescription through Express Scripts Home Delivery or a Walgreens pharmacy for my other long-term medications?
How will my copayments work?
What if I am newly diagnosed with diabetes and it takes a few times before my doctor and I find a diabetes maintenance medication that works for me?
I can't afford to pay more than on copay at a time. What can I do?
How do I get my medicine delivered from Express Scripts Home Delivery?
Whichever you choose, Express Scripts will work with your doctor to get you set up and there is no additional cost to you. Your medicine will be delivered in a confidential, tamper-proof, weather-resistant package.