Active Members and Non-Medicare Retirees Prescription Benefits
Active Members and Non-Medicare retirees with Preferred Provider (PPB) Plans are covered by the following prescription drug benefits:
- Preferred Drug List - This is not a guarantee of coverage. Plan benefits still dictate.
- Full Formulary List
- Maintenance Drug List
- Specialty Drug List
- Diabetes Waived Copays
- West Virginia Specialty Injectable
- Preventive Drug List
Maintenance Drug Refills
All maintenance medications must be filled in a 90-day supply at one of our Retail Maintenance Network pharmacies or through the Express Scripts mail service program.
Visit the Express-Scripts website to search for a network pharmacy and view current medication costs.
SaveOnSP Copay Assistance Benefit
West Virginia Public Employees Insurance Agency has partnered with Express Scripts to offer members access to a copay assistance benefit, administered by SaveOnSP, which helps members save money on certain specialty medications. SaveOn reaches out when it identifies eligible members taking the drugs that are included.
SaveOnSP Drug List
Medicare Retirees Prescription Drug Benefits
Medicare retirees receive prescription drug benefits through one of two plans:
Medicare Advantage Plan (Humana)
Special Medicare Plan (PEIA)