Express Scripts Medicare ® (PDP) offers three plans – Saver, Value and Choice – with the savings, service and safety you can rely on for yourself or someone under your care. Important: You do NOT need to join an individual Part D plan if you already have creditable prescription drug coverage (as good as or better than the standard Medicare prescription drug coverage) from an employer or union.

Support that’s more than medicine. Express Scripts is the country’s largest pharmacy benefit manager and one of the largest pharmacies. Now, as always, we’re here to help. Simple, stress-free ordering. Safe, accurate prescriptions delivered to your door. World-class customer support, 24x7.

Express Scripts Medicare offers insulin at an affordable and predictable price with our Saver and Choice plans. You will pay $35 or less for select insulin medications from any network pharmacy, in all stages up to the Catastrophic Coverage Stage. View a list of the included drugs. If you receive "Extra Help," you do not qualify for this program, and your Low-Income Subsidy copay level will apply.

Express Scripts Medicare requiresyou or your physician to get prior authorization for certain drugs. This means thatyou will need to get approval from Express Scripts Medicare beforeyou fill your prescriptions. Ifyou don’t get approval, ExpressScripts Medicare may not cover the drug. • Quantity Limits:

Support that’s more than medicine. Express Scripts is the country’s largest pharmacy benefit manager and one of the largest pharmacies. Now, as always, we’re here to help. Simple, stress-free ordering. Safe, accurate prescriptions delivered to your door. World-class customer support, 24x7.

Express Scripts Medicare covers both brand-name drugs and generic drugs. A generic drug is approved by the FDA as having the same active ingredient as the brand-name drug.

Express Scripts 1.877.328.9799 Attn: Medicare Reviews . P.O. Box 66571 . St. Louis, MO 63166-6571 . You may also ask us for a coverage determination by phone at 1.800.935.6103 or through our website at www.Express-Scripts.com. Who May Make a Request:

Ask your doctor to e-prescribe a 3-month supply to Express Scripts Home Delivery. For current prescriptions: After you register or log into your account, you can switch your eligible medications to delivery. Once we have your prescription, we’ll take care of the rest.