Pharmacy

Prescription drug benefits are included in the medical option that you elect when you enroll in BJC benefits. In this section, you will find information about receiving prescription medications through the BJC Medical Plan. In most cases, for prescription refills, using mail-order will result in the lowest possible co-payment for your medications.

Go to RxProfile.bjc.org to register for mail-order with the BJC Employee Pharmacy or to update your pharmacy account information.

Go to RxRefill.bjc.org if you are already a BJC pharmacy customer and need to order a refill, check refill status, set does reminders, transfer a prescription or locate a pharmacy.

Cost Information

Prescription Drug Coverage

* All refills in Missouri and Illinois need to be filled by mail-order through the BJC Employee Pharmacy. Copays noted above for 30-Day Supply apply to 1st fills only. Refills not processed via mail-order through BJC Employee Pharmacy will result in significantly higher cost to you. (Exceptions may apply based on the BJC Employee Pharmacy's ability to fill.)
** For approved 90-day maintenance medications only. Available only through BJC Employee Pharmacy mail-order.
*** All Speciality Drugs need to be directed to the BJC Employee Pharmacy. Copayment is $50 if filled through the BJC Employee Pharmacy via mail-order or $100 if filled through Walgreens. Refill requirements for Specialty Drugs may vary.

Types of Drugs

• Generic Drugs are low-cost alternatives that offer the same level of quality, effectiveness and safety as their brand name equivalents, at lower prices.
• Preferred Brand-Name Drugs cost more than generic but less than non-preferred brand name drugs. Ask your doctor if a generic substitution is available.
• Non-Preferred Brand Name Drugs cost more than Preferred Brand-Name Drugs and are often used to treat complex medical conditions. Ask your doctor if a generic or preferred brand-name “equivalent drug” is available at a lower cost.
• Specialty Drugs cost the most and can require special handling, administration or monitoring. They are used to treat complex, chronic and often costly conditions, such as multiple sclerosis, rheumatoid arthritis, hepatitis C and hemophilia.

Eligible Pharmacies

• BJC Employee Pharmacy is a mail-order pharmacy that can deliver 30-day first fills (new prescriptions), refills, 90-day supplies of maintenance medications and specialty drug prescriptions, with no mailing or handling fees. Employees should order 10 business days in advance (though average delivery time may be shorter). 
• BJC Pharmacies include six pharmacies located within BJC facilities, plus the BJC Employee Pharmacy (mail-order). 
• Select Out-of-Area Pharmacies are designated specifically for BJC employees who do not have easy access to BJC pharmacies.
• Express Scripts Participating Retail Pharmacies are Walgreens and its affiliated pharmacies. Walgreens operates 8,175 drugstores with a presence in all 50 states.

Filling A Prescription

New Prescriptions

• For specialty drugs, you must use mail-order or you will pay for the entire cost of the drug. There are some exemptions. Download the mail-order exemption list here. You can also download a list of specialty drugs here. For more information on prescription mail-order, see the mail-order page in this pharmacy section.
• For non-specialty drugs, you have the option of using mail-order or going to the nearest BJC outpatient pharmacy, select out-of-area (SOOA) pharmacy or Walgreens to get your new prescription filled. For new prescriptions, you will pay the lowest co-payment when you use a BJC or SOOA pharmacy. For a Walgreens near you, please call 866-273-5779.
• You and each covered dependent are allowed two emergency fills each year from the emergency drugs list from any Walgreens. Your emergency fill co-payment will be the same co-payment as if purchased at a BJC pharmacy.
• DO NOT USE MAIL-ORDER if your prescription is an urgent need medication, such as an antibiotic.
• If you choose to have a new prescription mail-ordered, you must first register for mail-order. To do this, go to RxProfile.bjc.org. If you have signed up for mail-order, ask your physician to e-prescribe, call or fax the prescription to the BJC Employee Pharmacy.

Refills

(in Missouri or Illinois)

• All medications must be refilled by mail-order to receive the lowest possible co-payment for that medication under the BJC medical plan (unless the medication is exempt from mail-order. See mail-order drugs exemption list and emergency drugs list.)
• DO NOT USE MAIL-ORDER if your shipping address is outside of Missouri and Illinois.
• Refills should be requested 10 days prior to your current supply running out.
• For prescriptions that have already been filled by the BJC Employee Pharmacy (mail-order), you can submit those refills online at RxRefill.bjc.org or call the pharmacy's automated voice mail system, 314.525.0411 or toll-free 855.525.0411. Be sure to have your prescription number handy. Pharmacy representatives are available 8 a.m.-4:30 p.m., Monday-Friday. RxRefill website detailed instructions here. For more information on prescription mail-order, see the mail-order page in the pharmacy section.

Transfers

• Transfer from one BJC pharmacy to another BJC pharmacy: call the pharmacy where you want the prescription filled. Use the automated phone system and follow the prompts to place your refill request. Find pharmacy phone numbers here. You may also go to RxRefill.bjc.org. Log in or access the site as a guest, then go to Transfer Prescriptions. The automated phone system cannot be used for transfer of controlled substances (CIII-V). You must call the pharmacy or go to Transfer Prescriptions on RxRefill.bjc.org.
• Transfer from a non-BJC pharmacy to a BJC-pharmacy: go to RxRefill.bjc.org. Log in or access the site as a guest, then go to Transfer Prescriptions, or you may call the pharmacy where you want the prescription filled. Find pharmacy phone numbers here.

Drug Lists

• All Drugs - Comprehensive List 2018
• All Drugs - Condensed List 2018
• Emergency Drugs 2018
• Emergency Drugs 2019
• Maintenance Drugs 2018
• Maintenance Drugs 2019
• Specialty Drugs 2018
• Specialty Drugs 2019
• Drugs Exempt from Mail Order 2018
• Drugs Exempt from Mail Order 2019

Mail Order

BJC medical plan participants and their dependents who use mail-order (from the BJC Employee Pharmacy) for prescription refills and for all specialty drug prescriptions (new fills and refills) will pay the lowest possible co-payment for their prescription drugs under the BJC Medical Plan. To use mail-order, you must first register. Below is registration information, FAQs and more to help you maximize the mail-order benefit.

Register

To receive prescriptions from the BJC Employee Pharmacy (mail-order), you and each of your dependents must first register for mail-order. To do this go to RxProfile.bjc.org, select "Register for mail-order", then complete the online form.

If you are already receiving prescriptions by mail from the BJC Employee Pharmacy, your profile has been established. To view and update your profile, go to RxProfile.bjc.org.

Filling a mail-order prescription

For non-specialty prescription refills and for all specialty drugs, you (and your covered dependents) must use mail-order to receive the lowest co-payment.

Some medications are exempt from mail-order. These exemptions can be found in two lists:

• Emergency Drug List
• Drugs Exempt from Mail-Order

Do not use mail-order if your prescription is an urgent-need medication, such as an antibiotic.

Only BJC employees and their dependents who are BJC Medical Plan participants and receive mail in Missouri and Illinois can use mail-order from the BJC Employee Pharmacy.

The BJC Employee Pharmacy can fill up to a 90-day supply of certain medications (referred to as "maintenance medications"). Ask your physician to write the prescription for 90 days.

To fill a prescription using mail-order (BJC Employee Pharmacy):

Option 1: Ask your physician to electronically submit a prescription to the BJC Employee Pharmacy. The pharmacy can receive all prescriptions, including controlled substances, through the SureScripts network used by physicians. Provide the BJC Employee Pharmacy phone number to your physician, 314.525.0411 (do not give the physician the toll-free number).
Option 2: Your physician can fax the prescription to the BJC Employee Pharmacy, 314.525.0416. The pharmacy cannot accept prescriptions faxed by the Plan Member.
Option 3: The Plan Member can mail the original paper prescription to:
BJC Employee Pharmacy, 3844 South Lindbergh Boulevard, Suite 150, St. Louis, MO 63127
Option 4: The paper prescription can be placed in the drop-box outside the BJC Employee Pharmacy door at 3844 South Lindbergh Boulevard, Suite 150 St. Louis, MO 63127. The building and drop box hours are 7 a.m.-6 p.m. Monday-Friday.

FAQ's
 

REGISTRATION

1. Can I use the BJC Employee Pharmacy if I do not have my medical benefits through BJC?

No. Only employees and their dependents who are on BJC's Medical Plan and receive mail in Missouri and Illinois can use the BJC Employee Pharmacy.

2. How do I set up mail-order service for my prescriptions?

To receive prescriptions from the BJC Employee Pharmacy (mail-order), you and each of your dependents must first register for mail-order. To do this go to RxProfile.bjc.org, select "Register for mail-order", then complete the online form. This site is accessible from anywhere.

3. I have completed a customer profile for the BJC Employee Pharmacy. Does that mean my dependents and I are all able to use the BJC Employee Pharmacy?

No, every member of the family (employee and each covered dependent) must complete a customer profile. The pharmacy system views everyone's record as unique and independent.

4. When I update my information, including home address, in myBJCnet (myHR), do the updates transfer to the BJC pharmacy system?

No, updates made in myBJCnet (myHR) do not transfer over to the pharmacy system. Update your and your dependents information online at RxProfile.bjc.org.

5. Can the BJC Employee Pharmacy mail my prescription or my dependent's prescription to an address that is not my home address?

Yes. However, the BJC Employee Pharmacy can only ship to addresses in Missouri or Illinois. Before submitting a refill request, update your address online at RxProfile.bjc.org.

ORDER YOUR MEDICATION

6. Does the mail-order program apply to all non-specialty drug refills and all specialty drug prescriptions?

There are specific mail-order exemptions for both non-specialty and specialty drugs. Exemptions can be found in two lists located in Benefits/Pharmacy/Filling a Prescription: Emergency Drug List and Drugs Exempt from Mail-Order.

7. How do I know if my current medication is considered a “specialty” prescription drug?

Specialty drugsare prescription medications that require special handling, administration or monitoring.. Review the list of Specialty Drugs located in Benefits/Pharmacy/Filling a Prescription.

8. I am already registered for mail-order through the BJC Employee Pharmacy. What is the best way to send in a prescription for mail-order?

Option 1: Ask your physician to electronically submit a prescription to the BJC Employee Pharmacy. The pharmacy can receive all prescriptions, including controlled substances, through the SureScripts network used by physicians. Provide the BJC Employee Pharmacy phone number to your physician, 314.525.0411 (do not give the physician the toll-free number).
Option 2: Your physician can fax the prescription to the BJC Employee Pharmacy, 314.525.0416. The pharmacy cannot accept prescriptions faxed by the Plan Member
Option 3: The Plan Member can mail the original paper prescription to:
BJC Employee Pharmacy, 3844 South Lindbergh Boulevard, Suite 150, St. Louis, MO 63127
Option 4: The paper prescription can be placed in the drop-box outside the BJC Employee Pharmacy door at 3844 South Lindbergh Boulevard, Suite 150 St. Louis, MO 63127. The building and drop box hours are 7 a.m.-6 p.m. Monday-Friday.

9. Will I receive a 90-day fill for all my mail-order prescriptions?

When possible, the BJC Employee Pharmacy will dispense a 90-day supply of your medications. To fill a 90-day supply, the prescription must be written for a 90-day supply and it must be on the BJC Maintenance Drug List located in Benefits/Pharmacy/Filling a Prescription.

10. Will the BJC Employee Pharmacy mail a prescription to a Post Office Box?

Many medications, including controlled-substance medications, can be mailed to a Post Office (PO) Box. Refrigerated medications cannot be mailed to a PO Box.

11. I wanted my prescription to go to the BJC Employee Pharmacy, but my physician sent it to a different pharmacy. What do I do?

Contact the BJC Employee Pharmacy immediately to avoid having the prescription filled by the wrong pharmacy. If possible, the BJC Employee Pharmacy will transfer and fill the prescription. You are responsible for ensuring that the physician sends the prescription to your desired pharmacy.

12. Does the BJC Employee Pharmacy contact me before filling a prescription that was sent to the pharmacy by my physician? Will I be billed for the prescription even if I changed my mind?

No, you will not be contacted. The BJC Employee Pharmacy is responding to your physician's order by filling and mailing upon receipt of a prescription. Once the medication is dispensed and sent out for delivery, you will be billed accordingly.

13. How long will it take to receive my prescription through mail-order?

You can expect to receive your prescriptions by mail in 10 business days. The BJC Employee Pharmacy requests a 10-day notice in case there are circumstances that prevent your prescription from being filled immediately. For example, if there are no refills remaining on your prescription, the pharmacy must contact your physician to obtain authorization. For the most prompt delivery, ensure your address and payment information are up-to-date. For the most prompt delivery, ensure that your information on file with the BJC Employee Pharmacy is current (home/shipping address, payment information).

14. Can I order my refill online?

Yes, but only for medications previously filled at the BJC Employee Pharmacy. Order online at RxRefill.bjc.org.

15. Should I call the pharmacy and let them know if I have a change of address?

Yes, before submitting a refill request, update your address online at RxProfile.bjc.org. You can also call the BJC Employee Pharmacy at 314.525.0411 or toll-free 855.525.0411, 8 a.m.-4:30 p.m. Monday-Friday, to update your address. Profile updates made by you in myBJCnet (myHR) do not transfer into the BJC pharmacy system.

16. What if I have an urgent need for my prescription?

Emergency non-specialty medications and first fills of new non-specialty medications may still be filled at any BJC Pharmacy, Select Out-of-Area Pharmacy, the BJC Employee Pharmacy or any Walgreens at the fixed copayment structure.

17. What should I do if I have an urgent refill need, my medication is running low or my shipment has not arrived, and I need my medication?

If you have already submitted a refill request to the BJC Employee Pharmacy and received an email notification that your medication has shipped, and the notification contains a USPS tracking number, use the tracking number to check the delivery status. If you have already submitted a refill request, but have not received an email notification that your medication has shipped, check the status of the prescription online at RxRefill.bjc.org. To sign up for email shipment notifications, go to RxProfile.bjc.org and provide an email address.

If you have not submitted a refill request or if the delivery is not scheduled to occur before you need the medication, immediately contact the BJC Employee Pharmacy.

18. I should have received my medication by now, but it has not arrived. What should I do?

If 10 business days have passed since you requested your refill, and your medication has not arrived, you need to take action:
Step 1: if you received an email notification that the medication was shipped and the notification contains a USPS tracking number, use the tracking number in that email to check the delivery status. To sign up for email shipment notifications, go to RxProfile.bjc.org and enter your email address.
Step 2: if the delivery status indicates that the shipment was delivered or if the status indicates the shipment has stopped moving in the delivery process, contact the post office. You must contact the post office before contacting the BJC Employee Pharmacy. All claims with the post office must be issued by the customer. The BJC Employee Pharmacy cannot file a claim on your behalf.
Step 3: once you have contacted the post office, contact the BJC Employee Pharmacy, 314.525.0411 or toll-free at 855.525.0411, 8 a.m.-4:30 p.m. Monday-Friday. The pharmacy staff will determine the appropriate next steps depending on the situation.

19. I'm going on a long trip and I need a refill but can't wait for mail-order delivery. What should I do?

Call the BJC Employee Pharmacy, 314.525.0411 or toll-free 855.525.0411, 8 a.m.-4:30 p.m. Monday-Friday. Your options depend on when you are leaving and how long you will be away.

REFRIGERATED MEDICATIONS

20. Can the BJC Employee Pharmacy ship refrigerated medications?

Yes. Medications are shipped using special packaging that has been tested to ensure the proper temperature is maintained. Additional steps are taken to protect temperature sensitive medications during extreme weather conditions (hot or cold). Steps include special packaging, adjustments to the timing of shipments and holding shipments. Not all medications are temperature sensitive. For medications that are not temperature sensitive, the packaging and shipping process is the same in extreme weather conditions.

21. I am frequently not home on weekends. Are refrigerated medications delivered on weekends?

The BJC Employee Pharmacy ships refrigerated medications Monday-Thursday to avoid weekend delivery.

CONTROLLED SUBSTANCES

22. Will I be required to fill my controlled substance (CII) prescriptions at the BJC Employee Pharmacy to get the lowest copayment?

CII prescriptions written for 30 days or less are exempt from mail-order.

If your prescription is eligible for a 90-day fill and you would like a 90-day supply, you must fill the prescription at the BJC Employee Pharmacy.

The pharmacy can receive controlled-substance prescriptions through the SureScripts network. To help your physician, you can provide the BJC Employee Pharmacy phone number, 314.525.0411, or you can mail paper prescriptions to:
BJC Employee Pharmacy, 3844 South Lindbergh Boulevard, Suite 150, St. Louis, MO 63127

Paper prescriptions can also be placed in the drop-box outside the BJC Employee Pharmacy door at 3844 South Lindbergh Boulevard, Suite 150, St. Louis, MO 63127. Building and drop box hours are 7 a.m.-6 p.m. Monday-Friday.

23. How do I transfer an existing controlled-substance prescription to the Employee Pharmacy?

To transfer a controlled-substance prescription (CIII-V) to the Employee Pharmacy, the pharmacist at the Employee Pharmacy must speak with the pharmacist at the transferring pharmacy. This is required even for transfers from a BJC pharmacy to the Employee Pharmacy. To start this process, go to RxRefill.bjc.org. Log in or access the site as a guest, then go to Transfer Prescriptions. Or you can call the Employee Pharmacy and speak with a member of the pharmacy team. You cannot start the transfer of a controlled-substance prescription using the automated phone system or by selecting a different pharmacy under the refill option on the RxRefill site.

PAYMENT

24. What are my payment options for mail order?

The methods of payment are Flexible Spending Account (FSA) card, credit card, debit card, pre-paid card or the Global Cash Card/Bank of America Cash Card provided by BJC Payroll.

Cash or checks are not accepted. You will be required to provide payment information when your customer profile is created. To update your payment information, go to RxProfile.bjc.org before submitting your next refill request or call the BJC Employee Pharmacy.

25. What happens if I don't use the BJC Employee Pharmacy service for my refills or my specialty drug prescriptions?

Those who choose to have their refills and specialty medications filled by another pharmacy (including a BJC Retail Pharmacy), except when the drug is exempt from mail-order, will, in many cases, pay a significantly higher amount for their prescriptions (the entire discounted cost of that drug).

In situations where you are filling a low-cost generic that costs less than the copayment amount, you may prefer to continue to fill your prescription at the pharmacy you are currently using.

SHIPPING

26. Is there an additional cost to have my prescriptions mailed by the BJC Employee Pharmacy?

There is no charge for standard delivery. If your medication need is urgent and the pharmacy staff determines alternative shipping is required, additional charges may apply.

27. Can I receive an email notification when my medication ships?

Yes. If shipped USPS, the email notification includes a tracking number, so you can check the delivery status. If you are not signed up for email notifications, go to RxProfile.bjc.org and provide an email address or call the BJC Employee Pharmacy, 314.525.0411 or toll-free 855.525.0411, 8 a.m.-4:30 p.m. Monday-Friday.

GENERAL

28. What resources are available to me as a customer of the BJC Employee Pharmacy?

• Online registration: register online to begin filling prescriptions at the BJC Employee Pharmacy. Go to RxProfile.bjc.org or go to the "Pharmacy Mail-Order Registration Form”, located on BJCnet (bjcnet.carenet.org) located under For Employees.
• RxProfile.bjc.org: register for mail-order from the BJC Employee Pharmacy, view and update your pharmacy profile – update address, telephone number, email address, payment information and view medication allergies.
• RxRefill.bjc.org: manage your medications -- enter and retain your prescription drug information, request refills, transfer prescriptions, check refill status, review information about your prescription drugs and more.
• BJC Employee Pharmacy automated phone system: 314.525.0411 or 855.525.0411, available 24 hours a day, 7 days a week. Request a refill, check the status of a refill, transfer a prescription from one BJC pharmacy to another BJC pharmacy, get pharmacy hours of operation.
• BJC Employee Pharmacy: 314.525.0411 or 855.525.0411, 8 a.m.-4:30 p.m. Monday-Friday; licensed pharmacy technicians and pharmacists are available.
• BJC Pharmacy Services webpage
• Employee Service Center: 314.362.2184 or 855.362.2184, 7 a.m.-5 p.m. Monday-Friday, questions related to the pharmacy benefit.
• Express Scripts: 866-273-5779; Plan members can obtain their prescription history online through Express Scripts, BJC's prescription drug benefits manager.

29. How will using the BJC Employee Pharmacy benefit me (as a customer)?

• Ordering refills and specialty medications (new and refills) from the BJC Employee Pharmacy ensures you pay the lowest copayment possible.
• Medications are delivered directly to you, saving you time and money by eliminating trips to the pharmacy.
• Convenient payment options: Major credit card (MasterCard, VISA, Discover and American Express) or Flexible Spending Account (FSA) card.
• Standard shipping at no additional cost.
• Savings to BJC keep your medical/prescription costs down.

30. Can I use Express Scripts (or any other provider) for mail-order?

No. For BJC employees and their dependents who are covered by BJC's Medical Plan, prescription mail-order is available only through the BJC Employee Pharmacy.

31. Will I be able to access my prescription purchase history?

Yes. Visit the Express Scripts website (BJC's prescription drug benefits manager) or complete an authorization form.

Drug Lists

• All Drugs - Comprehensive List 2018
• All Drugs - Condensed List 2018
• Emergency Drugs 2018
• Emergency Drugs 2019
• Maintenance Drugs 2018
• Maintenance Drugs 2019
• Specialty Drugs 2018
• Specialty Drugs 2019
• Drugs Exempt from Mail Order 2018
• Drugs Exempt from Mail Order 2019