Pharmacy benefits for your High Option federal plan
With no deductible and low copays, the High Option prescription drug plan includes access to nearly 64,000 pharmacies in the Express Scripts network, along with home delivery in all 50 states.
Coverage for retail and mail-order prescriptions
High Option 2025 prescription coverage
Retail prescription drugs
Non-specialty 30-day supply
Mail-order prescription drugs
Non-specialty 90-day supply
Retail prescription drugs
Specialty 30-day supply
Mail-order prescription drugs
Specialty 90-day supply
In-network (PPO) you pay
$10 for Tier 1
25% for Tier 2, max $200 per Rx
45% for Tier 3, max $300 per Rx
$20 for Tier 1
25% for Tier 2, max $300 per Rx
45% for Tier 3, max $500 per Rx
25% for Tier 4, max $300 per Rx
25% for Tier 5, max $600 per Rx
45% for Tier 6, max $1,000 per Rx
25% for Tier 4, max $150 per Rx
25% for Tier 5, max $300 per Rx
45% for Tier 6, max $500 per Rx
Access your High Option pharmacy account
Express Scripts manages prescription drug benefits for High Option members.
Calculate the cost of your medications
Visit the Express Scripts prescription cost calculator.
Switch to a 90-day supply of your daily medications
With Express Scripts Smart90®, it’s easy to switch from a 30-day supply to a 90-day supply of medications you take every day. Fill prescriptions through mail-order home delivery with free standard shipping or at any network retail pharmacy.
Order diabetes medications through the mail
- $0 copay for generic oral medication, formulary blood glucose test strips, and lancets (used to reduce blood sugar)
- $25 copay for a 30-day supply of certain insulin and non-insulin drugs to treat diabetes
- $75 copay for a 90-day supply of certain insulin
Download the Express Scripts mobile app
Manage your medication—anytime, anywhere.
Contact Express Scripts for help
8 am – midnight ET, Monday – Friday
8 am – 6 pm ET, Saturday
24/7 emergency pharmacy consultation
Download and access Health Plan resources
2025 Federal Brochure
2025 FEHB Consumer Driven Option Summary of Benefits and Coverage (SBC)
Consumer Driven Option Preferred Formulary
View the national preferred drug formulary to see a list of preferred alternatives for drugs that the plan does not cover.
