Pharmacy

Prescription drug benefits are included in the BJC Medical option that you elect and Express Scripts administers our coverage. Present your Cigna ID card when purchasing medications.

You may use BJC pharmacies or any pharmacy in the Walgreens National network to fill and refill your 30-day and 90-day prescriptions.

To begin using BJC's pharmacy mail-order service, we encourage BJC Medical Plan participants and covered dependents over 18 to visit pharmacy's website, www.BJCRx.org. From there, you can:

Order prescriptions
Transfer prescriptions
Check prescription status
Manage your account: payment, dependents, contact information

Cost Information

Prescription Drug Coverage Chart - Signature or Flex option*

View Chart

	30-Day Supply		90-Day Supply
	BJC/Saint Luke's Pharmacies or BJC Family Care Central Pharmacy (mail-order)*	Walgreens National Network	BJC/Saint Luke's Pharmacies or BJC Family Care Central Pharmacy (mail-order)	Walgreens National Network
Generic Drugs	$10	$15	$20	$35
Preferred Brand-Name Drugs	$35	$50	$70	$100
Non-Preferred Brand-Name Drugs	$80	$120	$160	$240
Specialty Drugs**	$150
Annual Out-of-Pocket Maximum
Per Individual	$2,000
Per Family	$4,000

*If you are outside of MO, IL or KS, use a Walgreens National Network pharmacy for all non-specialty prescriptions.

**All specialty medications must be directed to the BJC Family Care Central Pharmacy (mail-order).

Note: the annual out-of-pocket maximums for prescription drugs in the Flex and Signature options are separate from the medical plan out-of-pocket maximum.

Prescription Drug Coverage Chart - High-Deductible Health Plan (HDHP) with HSA*

View Chart

	30-Day Supply		90-Day Supply
	BJC/Saint Luke's Pharmacies or BJC Family Care Central Pharmacy (mail-order)*	Walgreens National Network	BJC/Saint Luke's Pharmacies or BJC Family Care Central Pharmacy (mail-order)	Walgreens National Network
Generic Drugs	Plan pays 90% after deductible	Plan pays 80% after deductible	Plan pays 90% after deductible	Plan pays 80% after deductible
Preferred Brand-Name Drugs	Plan pays 90% after deductible	Plan pays 80% after deductible	Plan pays 90% after deductible	Plan pays 80% after deductible
Non-Preferred Brand-Name Drugs	Plan pays 90% after deductible	Plan pays 80% after deductible	Plan pays 90% after deductible	Plan pays 80% after deductible
Specialty Drugs**	Plan pays 90% after deductible

*If you are outside of MO, IL or KS, use a Walgreens National Network pharmacy for all non-specialty prescriptions.

**All specialty medications must be directed to the BJC Family Care Central Pharmacy (mail-order).

Note: the deductible and coinsurance amounts for both medical and prescriptions drugs are combined into one out-of-pocket maximum.

Copayments

The amount you pay depends on your medical option, the pharmacy you choose, the type of drug you purchase and the supply amount. Prescriptions are usually written for 30 days or 90 days.

Visit http://www.express-scripts.com/BJCEast to price a medication before filling a prescription.

In the Signature and Flex options, prescription drugs are subject to a copay (except for eligible preventive medications, which are covered at 100%).

In the HDHP option, you pay the full cost of prescription drugs (except for eligible preventive medications, which are covered at 100%) until you meet your deductible. Once you satisfy the deductible, the plan will begin sharing the cost with you. You can use your Health Savings Account (HSA) to pay for prescription drug expenses.

BJC uses a program to reduce member copay to zero on eligible specialty drugs (SaveonSP). The Family Care Central Pharmacy will notify you when this is applicable.

Eligible Pharmacies

BJC Family Care Central Pharmacy (mail-order) can deliver 30-day first fills, refills, 90-day supplies of maintenance medications, and specialty drug prescriptions to your home with no mailing fees. Employees should order 14 days in advance (average delivery time may be shorter).
BJC Pharmacies (in person) can fill and refill 30-day and 90-day prescriptions; includes five pharmacies located within BJC facilities.
Walgreens (in person) can fill and refill 30-day and 90-day prescriptions; available in all 50 states.
Visit www.express-scripts.com/BJC to locate a network pharmacy.

BJC Pharmacies

Pharmacy Name	Address/Phone
Family Care Central Pharmacy New prescriptions and refills (mail-order only) 8 a.m.-4:30 p.m. Monday-Friday	Not available for walk-up service. 1234 South Kingshighway Blvd., Suite 1500, St. Louis, MO 63110 phone - 314.657.9000 or toll-free - 855.525.0411
Family Care Pharmacy at Alton Memorial Hospital 8:30 a.m.-5 p.m. Monday-Friday	#1 Memorial Drive Room G247 Alton, IL 62002 phone - 314.657.9001 or toll-free 844-747-4044
Family Care Pharmacy at Barnes-Jewish Hospital 8 a.m.-5:30 p.m. Monday-Friday	Center for Advanced Medicine, 3rd floor 4921 Parkview Place Floor St. Louis, MO 63110 phone - 314.657.9006 or toll-free - 800.503.2298
Family Care Pharmacy at Christian Hospital 8:30 a.m.-1:30 p.m. and 2-5:30 p.m. Monday-Friday	Professional Office Bldg. 2, 11125 Dunn Road St. Louis, MO 63136 phone - 314.657.9002
Family Care Pharmacy at Missouri Baptist Medical Center 8:30 a.m.-5:30 p.m. Monday-Friday	3023 North Ballas Road, Suite 100D, St. Louis, MO 63131 phone - 314.657.9008
Family Care Pharmacy at Parkland Health Center 8:30 a.m.-5 p.m. Monday-Friday	1106 Hazel Lane Suite 140 Farmington, MO 63640 phone - 314.657.9011

For prescriptions that have been filled at a BJC pharmacy listed above, you may order a refill online at www.BJCRx.org. You may also use this website to check refill status, transfer a prescription, locate a BJC pharmacy, set dose reminders and more.

Filling A Prescription

Prescriptions are usually written for 30 days or 90 days.
For new prescriptions, the first fill (except for specialty medications) can be cared for in any of our eligible pharmacies (in person or mail-order).
The BJC plan only covers prescriptions filled at our eligible pharmacies. You will pay the full cost of your medication if you go out of our network.
To pay the lowest copay, employees should use a BJC pharmacy (picking up at Walgreens will have a higher copay).
Refills (30-day or 90-day) in Missouri, Illinois and Kansas* can be filled by BJC Family Care Central Pharmacy (mail-order).
Specialty medications must be filled by BJC Family Care Central Pharmacy (mail-order).
To use BJC mail-order, you and each of your covered dependents must first create an account on www.BJCRx.org and then transfer your current prescriptions. If you need assistance, call the BJC Family Care Central Pharmacy at 314-657-9000 or 855-525-0411, 8 a.m. - 4:30 p.m., Monday - Friday.
Place your mail-order request 14 days in advance so you do not run out of your medication.
Prescriptions filled through the mail-order pharmacy will be delivered to your home address.
Certain medications and dosages may trigger the need for authorization. Your physician will be contacted, and authorization must be received before your prescription is filled.
Use your Cigna card to obtain prescription drugs. Pharmacy information, administered by Express Scripts, is on the back side of the card.

*If you reside outside of Missouri, Illinois or Kansas you should utilize a Walgreens network pharmacy for all non-specialty prescriptions. The Walgreens copay will apply on all new and refill prescriptions.

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 www.BJCRx.org. The automated phone system cannot be used for transfer of controlled substances (CIII-V).
Transfer from a non-BJC pharmacy to a BJC-pharmacy: go to www.BJCRx.org, then go to Transfer Prescriptions. (If you have not created an account on BJCRx.org, it is recommended that you do so). Or you may call the pharmacy where you want the prescription filled. Find pharmacy phone numbers here.

Mail Order

To begin using BJC's pharmacy benefit, including mail-order, we encourage BJC Medical Plan participants and covered dependents over 18 to visit pharmacy's website www.BJCRx.org and create an account.

Filling a mail-order prescription

Only BJC employees and their dependents who are BJC Medical Plan participants and receive mail in Missouri or Illinois can use mail-order from Family Care Central Pharmacy.

Refills should be requested 14 days prior to your current supply running out. Do not use mail-order if your prescription is an urgent-need medication, such as an antibiotic.

The Family Care Central Pharmacy can fill up to a 90-day supply of certain medications. Ask your physician to write the prescription for 90 days.

To fill a prescription using Family Care Central Pharmacy (mail-order):

Option 1: Ask your physician to electronically submit a prescription to the Family Care Central Pharmacy. The pharmacy can receive all prescriptions, including controlled substances, through the SureScripts network used by physicians. Provide the pharmacy phone number to your physician, 314.657.9000 (do not give the physician the toll-free number).

Option 2: Your physician can fax the prescription to the Family Care Central 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:

Family Care Central Pharmacy
1234 South Kingshighway Blvd., Suite 1500
St. Louis, MO 63110

Frequently Asked Questions

Registration

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

To receive prescriptions from the Family Care Central Pharmacy, BJC's mail-order pharmacy, visit www.BJCRx.org. If you are a new BJC pharmacy customer (a new BJC Medical Plan participant), then you and each of your covered dependents, must create an account to begin receiving prescriptions from mail-order. If you are a current BJC pharmacy customer, it is recommended that you and each of your dependents create an account on BJCRx.org.

I have completed a customer profile for the Family Care Central Pharmacy. Does that mean my dependents and I are all able to use the Family Care Central Pharmacy?

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

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 www.BJCRx.org. If you have not created an account on BJCRx.org, you must do so first to make future updates.

Can I use the Family Care Central Pharmacy if I do not have my medical benefits through BJC?

No. Only BJC Medical Plan participants in Missouri, Illinois and Kansas their covered dependents, can use the Family Care Central Pharmacy.

Can the Family Care Central Pharmacy mail my prescription or my dependent's prescription to an address that is not my home address?

Yes. However, the Family Care Central Pharmacy can only ship to addresses in Missouri, Illinois or Kansas. Before submitting a refill request, update your and your dependents information online at www.BJCRx.org. If you have not created an account on BJCRx.org, you must do so first to make future updates.

Order Your Medication

Will the Family Care Central 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.

I wanted my prescription to go to the Family Care Central Pharmacy, but my physician sent it to a different pharmacy. What do I do?

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

Does the Family Care Central 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 Family Care Central 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.

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 Family Care Central Pharmacy, 3314.657.9000 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.

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 Family Care Central Pharmacy and received an email notification that your medication has shipped, and the notification contains a 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 www.BJCRx.org. You can also sign up for email shipment notifications.

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 Family Care Central Pharmacy.

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

If 14 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 courier tracking number, use the tracking number in that email to check the delivery status. To sign up for email shipment notifications, go to www.BJCRx.org, create an account if you have not already done so, 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 courier. You must contact the courier before contacting the Family Care Central Pharmacy. All claims with the courier must be issued by the customer. The Family Care Central Pharmacy cannot file a claim on your behalf.

Step 3: once you have contacted the courier, contact the Family Care Central Pharmacy, 314.657.9000 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.

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

You can expect to receive your prescriptions by mail in 14 days. The Family Care Central Pharmacy requests a 14-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 that your information on file with the Family Care Central Pharmacy is current (home/shipping address, payment information).

I am already registered for mail-order through the Family Care Central 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 Family Care Central Pharmacy. The pharmacy can receive all prescriptions, including controlled substances, through the SureScripts network used by physicians. Provide the Family Care Central Pharmacy phone number to your physician, 314.657.9000 (do not give the physician the toll-free number).

Option 2: Your physician can fax the prescription to the Family Care Central 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:
Family Care Central Pharmacy, 1234 South Kingshighway Blvd., Suite 1500, St. Louis, MO 63110

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 www.BJCRx.org. You will need to create an account on BJCRx.org if you have not already done so. Providing your address is included in the account creation process. You can also call the Family Care Central Pharmacy at 314.657.9000 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.

Can I order my refill online?

Yes, go to www.BJCRx.org.

What if I have an urgent need for my prescription?

Emergency non-specialty medications may be filled at any BJC pharmacy or any pharmacy in the Walgreens National Network.

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

When possible, the Family Care Central Pharmacy will dispense a 90-day supply of your medications.

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

Specialty drugs are prescription medications that require special handling, administration or monitoring. Review the list of Specialty Drugs.

Refrigerated Medications

Can the Family Care Central 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.

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

The Family Care Central Pharmacy ships refrigerated medications Monday-Thursday to avoid weekend delivery.

Controlled Substances

How do I transfer an existing controlled-substance prescription to the Family Care Central Pharmacy?

To transfer a controlled-substance prescription (CIII-V), the Family Care Central Pharmacy pharmacist must speak with the pharmacist at the transferring pharmacy. This is required even for transfers from a BJC pharmacy to the Family Care Central Pharmacy. To start this process, go to www.BJCRx.org. Log in (if you have already created an account) or select Transfer Prescriptions. You can also call the Family Care Central 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 BJCRx.org site.

Will I be required to fill my controlled substance (CII) prescriptions at the Family Care Central Pharmacy?

No. You may use BJC pharmacies or any pharmacy in the Walgreens National Network to fill 30-day and 90-day prescriptions. It is up to each pharmacy whether they will fill a prescription for 90 days.

The Family Care Central Pharmacy can receive controlled-substance prescriptions through the SureScripts network. To help your physician, you can provide the Family Care Central Pharmacy phone number, 314.657.9000, or you can mail paper prescriptions to:

Family Care Central Pharmacy
1234 South Kingshighway Blvd., Suite 1500
St. Louis, MO 63110

Payment

What happens if I don't use the Family Care Central Pharmacy for my specialty drug prescriptions?

Those who choose to have their specialty medications filled by another pharmacy (including a BJC Retail Pharmacy) will pay a significantly higher amount for their prescriptions (the entire discounted cost of that drug).

What are my payment options for mail order?

The methods of payment are Flexible Spending Account (FSA) card, Health Savings Account (HSA) card, credit card, debit card and pay cards issued 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 www.BJCRx.org before submitting your next refill request, or call the Family Care Central Pharmacy. If you have not visited BJCRx.org before, you will need to create an account, which will include entering your payment information.

Shipping

Is there an additional cost to have my prescriptions mailed by the Family Care Central 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.

Can I receive an email notification when my medication ships?

Yes. If shipped FedEx, 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 www.BJCRx.org, create an account if you have not do so already, and provide an email address. Or call the Family Care Central Pharmacy, 314.657.9000 or toll-free 855.525.0411, 8 a.m.-4:30 p.m. Monday-Friday.

General

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 Family Care Central Pharmacy.

Will I be able to access my prescription purchase history?

Yes, visit to www.BJCRx.org. If you haven't created an account, you must create one. Once your account is set up, you will be able to view your prescription history with BJC pharmacies.

Resources

Prescription Drug Claim Form

When directed by a BJC pharmacy staff member, download the Authorization Form for Release of Information.

www.BJCRx.org
BJCRx.org combines the functions of RxRefill and RxProfile websites into one:
- Order prescription refills
- Transfer prescriptions
- Check prescription status
- Manage your account: payment, dependents, contact information
- Find a pharmacy
- Receive order notifications
- Submit prescription coupons
- Print prescription statements
- View your prescription profile

Family Care Central Pharmacy automated phone system: 314.657.9000 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 (excluding controlled substances), and view pharmacy hours of operation.

Family Care Central Pharmacy: 314.657.9000 or 855.525.0411, 8 a.m.-4:30 p.m. Monday-Friday; licensed pharmacy technicians and pharmacists are available.

BJC Pharmacy Services website

HR Hub: BJCHRhub.org

Express Scripts: 866.273.5779; Plan members can obtain their prescription history online through Express Scripts, BJC's prescription drug benefits manager.

Visit www.express-scripts.com/BJC to locate a Walgreens National Network pharmacy or to price a medication before filling a prescription.