Beginning Sept. 1, Express Scripts will need annual consent from Kenner Army Health Clinic patients who want to receive automatic refills of their maintenance medications enrolled in the TRICARE Pharmacy Home Delivery. This means just before a prescription runs out of refills, Express Scripts will reach out to beneficiaries to know if their doctor should to be contacted to renew the medication and if the patient wants to continue in the Automatic Refill Program. If not, Express Scripts will not refill the prescription.
“This new process gives beneficiaries more control over their medications and keeps the convenience of automatic refills,” said Amy Aldighere, Express Scripts senior director – DOD Program Management. “It also makes it easier to opt out of the auto refill program and helps to prevent beneficiaries from receiving medications they no longer need or shouldn’t receive.”
What to expect
When the last refill of a medication enrolled in the Automatic Refill program ships, Express Scripts will reach out to patients by telephone and/or email (depending on the preference previously indicated) and ask the following:
• Would you like Express Scripts to reach out to your doctor for a new prescription?
• Do you want to keep your medication enrolled in the auto refill program?
How to respond
Express Scripts will not re-enroll a medication unless they receive guidance from the patient. Beneficiaries have several ways to respond:
• Via the automated phone call from Express Scripts
• By calling an Express Scripts Patient Care Advocate at 1-877-363-1303
If Express Scripts does not receive consent within 10 days of reaching out to the patient, they will remove the medication from the Auto Refill program. However, re-enrolling is simple. People can re-enroll the medication at any time online, or through a PCA.
For more information or to answer questions, go to the Express Scripts website at www.express-scripts.com
. People also can call 1-877-363-1303 to speak with a representative.