APWU Health Plan FAQ

Talk with your doctor about getting the help you need to quit tobacco. 

Under the Affordable Care Act, your prescription plan covers several types of treatments that are approved by the U.S. Food and Drug Administration (FDA). 

Nicotine-replacement therapies (NRT)—such as the patch, gum, spray or inhaler—are proven effective at helping people quit tobacco use. The success rate is significantly better when two types of NRTs are used. 

Medications recommended and covered with $0 copay include: 

• Nicotine patch* 
• Nicotine gum, lozenges* 
• Nicotine nasal spray 
• Nicotine inhaler 
• Bupropion SR 150mg tablets 
• Varenicline tablets 

* Over-the-counter medication. Coverage limitations may apply; refer to your plan specifications for details. 

Your prescription plan covers contraceptives at no cost to you. 

Under the Affordable Care Act, your plan covers contraceptive medications and medical devices approved by the U.S. Food and Drug Administration. There are many contraceptive options available to you that can help prevent pregnancy, including:¹ 

• Medication taken by mouth (“the pill”) 
• Diaphragm 
• Emergency contraceptives 
• Shot/injection 
• Over-the-counter methods 
• Skin patch 
• Implantable rod 
• Vaginal ring 
• Intrauterine systems (“IUD”) 
• Cervical cap 

Consult with your health care provider to ensure you are using the contraception method most appropriate for you, your body and your future. 

For more information about contraception benefits, visit the website of the Office of Personnel Management (OPM): 

OPM Contraceptive Coverage 

Contact OPM  

¹ The success rate of contraceptive methods varies, depending on the specific medication or device used. 

Express Scripts Patient Assurance® Program Participating Drugs on the National Preferred Formulary 

PLEASE NOTE: This list is subject to change. Not all of the drugs listed are covered by all prescription plans; check your benefit materials for the specific drugs covered for your prescription plan. This list is effective beginning January 1, 2024. 

Prior to filling any prescription and for additional information about your prescription coverage, register or log in to express-scripts.com. 

• FARXIGA® 
• GLYXAMBI® 
• HUMALOG® 
• HUMALOG® KWIKPEN 
• HUMALOG® MIX 
• HUMULIN® 
• HUMULIN® KWIKPEN 
• HUMULIN® N 
• HUMULIN® N KWIKPEN 
• HUMULIN® R 
• HUMULIN® R KWIKPEN 
• JARDIANCE® 
• LYUMJEV™ 
• LYUMJEV™ KWIKPEN 
• SEMGLEE® 
• SYNJARDY® 
• SYNJARDY® XR 
• TRIJARDY® XR 
• TRULICITY® 
• XIGDUO XR 

All trademarks are the property of their respective owners. 

Whether you use your express-scripts.com account or the Express Scripts mobile app, it’s simple and convenient to enroll in home delivery to get your 90-day prescriptions shipped right to your door. 

Fill a new prescription 

Contact your doctor to request a 90-day prescription that can be e-prescribed directly to Express Scripts home delivery. 

Or, print a form by selecting Forms from the menu under Benefits. Print the home delivery form and follow the mailing instructions. 

Or, call Express Scripts at 1-800-841-2734 or 1-800-759-1089 (TTY), and we’ll contact your doctor for you. 

Please allow 10 to 14 days for your first prescription order to be shipped. 

Transfer a retail prescription to home delivery 

Select Add to Cart for eligible prescriptions and check out. We’ll contact your provider on your behalf and take care of the rest. Check Order Status to track your order. 

Refill and renew prescriptions 

Select Add to Cart for eligible prescriptions and check out. We’ll contact your provider on your behalf, if renewals are included, and take care of the rest. 

Yes, create an account on express-scripts.com or download the Express Scripts mobile app for free from your mobile device’s app store. Registering is safe and simple, and your information is secure and confidential. Please have your member ID number or SSN available. 

Once you create an account, you can: 

• Check your order status 
• Refill and renew prescriptions 
• Find your nearest preferred pharmacy 
• View and print member ID cards 
• Enroll eligible prescriptions in automatic refill 
• Set reminders to take your medication 
• Enroll in home delivery 

The Express Scripts mobile app is available for iPhone^®, iPad^®, and Android™ mobile devices. 

The High Option prescription drug plan includes access to nearly 64,000 pharmacies that belong to the Express Scripts network, along with home delivery options in all 50 states. The pharmacies discount their charges and bill the Health Plan automatically for members. 

The convenient mail order program is ideal for members with long-term prescriptions. Both programs offer no deductible and low copayments.