Citi Benefits Handbook
Obtaining a Refill of a Maintenance Medication with Express Scripts
The first three times you purchase a maintenance medication at a retail pharmacy you will pay the applicable copayment or coinsurance after you meet the applicable deductible. If you use an out-of-network pharmacy, reimbursement will be based on the contracted rate after you have met the deductible and paid the copay. You will receive a notice from Express Scripts advising you of the benefits of the Express Scripts Home Delivery program.
If, after the prescription is filled three times, you still want to purchase this maintenance medication at a retail pharmacy instead of through Express Scripts Home Delivery, you will pay 100% of the cost of the current prescription or a new prescription for the same medication and strength. Maintenance drugs, generally, are drugs taken on a regular basis for conditions such as asthma, heartburn, blood pressure, and high cholesterol. If you need to know if your prescription drug is considered a maintenance medication, call Express Scripts at 1 (800) 227-8338.