Pharmacy Program

Prescription Program

Our Prescription Drug Program Policy includes how the formulary is developed and maintained, the prior authorization program, how to pursue an exception, and information on generic substitution and quantity limits. It can be accessed here.

Who is Express Scripts

Express Scripts is a national company that Arise Health Plan contracts with to process members’ pharmacy claims and to issue drug benefit ID cards. Members present an Express Scripts ID card along with a prescription at one of the approximately 50,000 participating pharmacies nationwide, including Wal-Mart and CVS.

Visit the Express Scripts website and …

  • See what you’ll pay for a specific drug and discover ways to save
  • Locate participating retail pharmacies near you
  • Order refills and track the status of your order online
  • Check your pharmacy benefit coverage and verify coverage for eligible dependents
  • Review your 12-month prescription history

Express Scripts is also Arise Health Plan’s exclusive provider of Home Delivery pharmacy services.