Medco Prescription Benefit Manager

On this page: Retail Pharmacies | Speciality Medications | Highlights | Refills and New Rx Orders | Things You Can Do

Medco, Inc. has replaced Express Scripts as the prescription benefit manager for all IU employee medical plans effective January 1, 2012, consistent with state legislation.

Retail Pharmacies

Since Medco has a broad network of retail prescription pharmacies, most members will be able to continue using the same retail pharmacies; however, mail order prescriptions will change to Medco's facility. The new pharmacy network includes most retail chain pharmacies, such as CVS, Walgreens, Walmart, Target, and most supermarket pharmacy chains. Some independent pharmacies are included also.

Specialty Medications

Medco has a separate arrangement for specialty medications through Accredo. (Specialty medications are drugs that are used to treat complex conditions, such as cancer, growth hormone deficiency, hemophilia, hepatitis C, immune deficiency, multiple sclerosis, and rheumatoid arthritis.)

Highlights

• Most refills, both retail and mail, will be available without a new prescription.
• Many drugs will have the same copays, however some may be lower or higher depending on differences with Medco's preferred drug list.
• To locate copays and drug costs and find network pharmacies, visit the Medco Web site at www.medco.com.
• Members will need to get new prescriptions from a physician for controlled substances, specialty medications, and IU Health pharmacy mail order.
• There may be some disruption in scripts that have been reviewed and authorized by Express Scripts and IU Health Pharmacies that Medco will need to re-authorize.
• For more information, see the FAQ document (PDF).

Refills and New Prescription Orders

• If there are refills remaining on current mail-order prescriptions, no new prescription is needed. Refills will be automatically transferred to the Medco Pharmacy.

  • Note: IUHQP members must get a new prescription to send in to mail order; it will not be transferred.

• Prescriptions for controlled substances and compound medications cannot be transferred. Patients must request a new prescription.

• When it’s time to refill a prescription, request the refill online, by telephone, or through the U.S. mail.

Things you can do…

• Visit www.medco.com to learn about and manage your prescription benefit plan. For example:
  • Find a participating pharmacy
  • Search for preferred prescriptions
• Register as a Member at www.medco.com so you will be able to:
  • Submit a mail order online
  • Check the status of a mail order online
• Non-online Mail order
  • Print the prescription mail order form (PDF).
  • Print the refill request form (PDF).
  • Call 800-988-1794 to check on the status of mail order prescriptions.
• Print the prescription claim form (PDF).
• Print the Medco temporary ID card (PDF).
• Contact Medco Member Services 1-800-988-1794.