International Plan - Prescription Drugs

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For prescriptions filled in the U.S. and Puerto Rico, retail and mail-order prescriptions are available, and most major pharmacy chains are in-network. All prescription drug purchases, whether at pharmacies or for home-delivery, must be made through Express Scripts (ESI), and not Cigna Healthcare. 

For prescriptions filled outside the U.S. and Puerto Rico: You may obtain prescription medications at any pharmacy, but you must pay the full cost of the prescription drug and then file a claim for reimbursement with Cigna Healthcare. (In this case, you do not file a claim with Express Scripts.) You will be reimbursed for the cost of the prescription minus the $5.00 co-pay for up to a 30-day supply that applies outside the U.S. and Puerto Rico. If you are submitting a claim for a prescription drug, it must correspond with a doctor’s office visit during which your medication was prescribed.

Use the Cigna Healthcare medical claim form. Please make sure to include:

1.   The primary member name, including Cigna ID number

2.   Please be sure the detailed invoice/receipt you are submitting includes:

• Date of service (mm/dd/yyyy) 
• Patient name
• Description/Name of each medication
• Charge amount for each medication

3.   Proof of payment (e.g., credit card or other receipt) if the invoice from the provider does not show “amount paid” with a zero balance.

See the Medical Section above for your options to submit a medical claim form.
 

Please explore the Express Scripts Mobile App or read these PDFs: 

• Table of Covered Prescription Drug Services  
• Definition of Non-Covered Prescription Drug Services  

Most major pharmacy chains in the U.S. are in-network. Go to www.express-scripts.com or check the Express Scripts Mobile App. 

Please explore the Express Scripts Mobile App or https://www.express-scripts.com 

For prescriptions filled inside the U.S. and Puerto Rico: Nearly all pharmacies in the U.S. and Puerto Rico are in-network and your claim will be adjudicated at the pharmacy. However, if you fill your prescription at an out-of-network pharmacy, you must pay out-of-pocket and then file a claim with Express Scripts for reimbursement. PLEASE NOTE: If you use an out-of-network pharmacy, you will only be reimbursed for 50% of the amount you paid for the prescription. Use the Express Scripts website (expressscripts.com) to submit a claim online. You can also call the number on your Express Scripts ID card for assistance with filing a claim.

For prescriptions filled outside the U.S. and Puerto Rico: You must pay our-of-pocket and submit your claim to Cigna Healthcare.

• Express Scripts Welcome Letter 
• Client Service Center 
• Express Scripts – How to Transfer RX to Home Delivery?
• About the Accredo Specialty Drug Pharmacy
• How to Price a Prescription

Outside the U.S. and Puerto Rico: When you purchase a prescription drug outside the US and Puerto Rico, pay for it, and submit a claim for reimbursement with Cigna Global. Claims must include a copy of the valid prescription and the receipt for your purchase with each refill. Outside the US and Puerto Rico, all prescriptions are retail and require a $5 co-pay for up to 30-day supply regardless of the pharmacy you choose. 

Inside the U.S. and Puerto Rico: Retail prescriptions are available, and most major pharmacy chains are in-network. All prescription drug purchases inside the U.S. and Puerto Rico must be made through Express Scripts with your Express Scripts ID Card. You can get a 30- or 90-day supply at retail pharmacies, just be sure to have your doctor prescribe the appropriate time period. You pay three times the 30-day supply co-pay for a 90-day supply.

Please explore the Express Scripts Mobile App or read these PDFs: 

• Table of Covered Prescription Drug Services  
• Definition of Non-Covered Prescription Drug Services  

To access the digital ID card on the Express Scripts website or the Express Scripts mobile app (Apple iOS / Google Android), download the appropriate app and create an account. You will not have to create a new Express Scripts account if you remember your login credentials from 2022. You can use the “forgot password” feature if you remember your username.

To register on the app or website, you will have to use the SSN field even though most IDB members do not have an SSN. Instead of typing in an SSN (even if you have one), you will need to use your IDB Group Employee/Retiree ID number with additional zeros as follows:

• If you have a six-digit IDB Group ID number: 00 + your six-digit IDB Group number + 0 
• If you have a five-digit IDB Group ID number: 000 + your five-digit IDB Group number + 0 
• If you have an eight-digit IDB Group ID number: your eight-digit IDB Group number + 0 

For example, if your IDB Group ID number is 123456, you would enter 001234560 in the SSN field. If this does not work, contact HRD/INS (HRD-INS@iadb.org) to obtain the Express Scripts ID number you should use.

To access your prescription drug ID card on the mobile app, go to the “More” tab on the bottom right of the home screen and choose “Prescription ID Card”. To access the ID card on the website, go to the “Account” tab and choose “Prescription ID Card”. You can then show the ID card at a pharmacy, add it to your wallet (from the app) or text/email a copy of the ID card

Outside the US and Puerto Rico: All providers are considered in-network for International Plan members.

Inside the US and Puerto Rico: Most major pharmacy chains in the U.S. are in-network with Express Scripts. Go to www.express-scripts.com or check the Express Scripts Mobile App. 

Outside the U.S. and Puerto Rico: Please visit the Cigna Global website or Cigna Health Benefits app to request a new card, print a physical card or obtain a digital one.

Inside the U.S. and Puerto Rico: Please explore the Express Scripts Mobile App or https://www.express-scripts.com

For prescriptions filled outside the U.S. and Puerto Rico: When you purchase a prescription drug outside the US and Puerto Rico, you will pay out-of-pocket for it, and submit a claim for reimbursement with Cigna Global. Claims must include a copy of the valid prescription and the receipt for your purchase with each refill. Outside the US and Puerto Rico, all prescriptions are retail and require a $5 co-pay for up to 30-day supply regardless of the pharmacy you choose. 

1. Log in to the Cigna Health Benefits website (www.cignahealthbenefits.com) 
2. Click “Claims” in the menu bar 
3. Click the “Submit a claim” button 
4. Select the member who received care in the drop-down menu and identify whether that member is covered by other insurance and whether the claim is related to an accident 
5. Click the “Next Step” button 
6. Add the invoice date, amount, type of care, and country in which care was given 
7. Click the “Next Step” button 
8. Use the “Choose files” button to add your claim documents (make sure you also add any supporting documents, such as prescription, proof of payment, etc., if required) 
9. When you are finished adding documents, click “Save this invoice” 
10. On the next screen, review the summary of your claim information to ensure it is correct and then click “Submit claim” 

Visit the following documents for more information: 

• How to File a Claim online 
• Example of an EOB 

For prescriptions filled inside the U.S. and Puerto Rico: Use your Express Scripts ID card to fill any U.S. prescription at an in-network pharmacy. Most of the major retail pharmacy chains are in-network with Express Scripts. At these pharmacies, your claim will be adjudicated at the pharmacy and you will pay only any applicable co-pay. If you fill your prescription at an out-of-network pharmacy you must pay out-of-pocket and then file a claim for reimbursement with Express Scripts. PLEASE NOTE: If you use an out-of-network pharmacy, you will only be reimbursed for 50% of the amount you paid for the prescription. Use the Express Scripts website (expressscripts.com) to submit a claim online. You can also call the number on your Express Scripts ID card for assistance with filing a claim.

Express Scripts Pharmacy has a U.S. home delivery pharmacy program available within the United States, Puerto Rico, and U.S. Virgin Islands, for maintenance drug prescriptions delivered ONLY to a U.S., Puerto Rico or U.S. Virgin Islands address. Express Scripts cannot send mail-order prescriptions to overseas addresses. 

To order a new home delivery prescription, you can make a request by mail or your doctor can request electronically.  

•  If you want to make a request by mail: Request a prescription from your provider for a 90-day supply with refills 

1. Download the order form 
2. Include your delivery address 
3. Update health conditions and allergies information 
4. Include payment information (credit card or US checking account) 
5. Include your prescription  
6. Mail the completed order form and prescription to:  

          EXPRESS SCRIPTS PHARMACY 
          PO BOX 66301 
          ST LOUIS, MO 63166-6301 

• Electronic request:  Ask your doctor’s office to send your prescription electronically to Express Scripts Home Delivery, NCPDP 2623735, or via fax to reduce your waiting time for prescriptions. Have your doctor call 1-888-327-9791 for faxing instructions, if needed. If your doctor’s office handles the request electronically you do not need to mail anything to Express Scripts. 

To manage your existing home delivery prescriptions, go to Express Scripts website.