Summary Plan Description

Summary of the Prescription Drug Programs (Non-Medicare)
Description Express Scripts Retail Pharmacy Program Express Scripts By Mail
When to use Immediate or short-term medications up to a 30-day maximum supply. Long-term or maintenance medications up to a 90-day maximum supply.
Cost The following copayments apply to the nationwide retail pharmacy program:
  • $7 copayment for each generic prescription
  • $15 copayment for each brand-name prescription listed on the drug program formulary
  • $30 copayment for each brand-name prescription not listed on the drug program formulary
The following copayments apply to the home delivery pharmacy service:
  • $14 copayment for each generic prescription
  • $30 copayment for each brand-name prescription listed on the drug program formulary
  • $60 copayment for each brand-name prescription not listed on the drug program formulary
Customer service Carpenters Trusts
(206) 441-6514 Seattle Area
(800) 552-0635 Nationwide
Express Scripts
(800) 251-7706 Nationwide