Prescription Services

2024

Round Rock ISD has partnered with Express Scripts® and RxBenefits® to provide its employees with prescription benefits.

Prescription plans correspond with the employees’ chosen Health Insurance plan.

 

New – SMART90 Prescription Drug Plan for Daily Medications

 

Your Prescription benefits can cover:

R

Prescription Drugs

R

Insulin

R

Prescription Vitamins

R

Inhaler Assisting Devices

R

Smoking Cessation

R

Hemophilia Factors

R

Family Planning

R

Specialty Medications

hand drawn image of person sitting in chair and another with arms-crossed.

HMO Health Plan (Blue Essentials)

Retail Pharmacy Co-Payment Amount Mail Order (90 Days)
Generic Drug

$15

3x co-pay

Preferred Brand Name Drug

35% ($45 min – $80 max)

3x co-pay

Non-Preferred Brand Name Drug

40% ($75 min – $120 max)

3x co-pay

Specialty Drugs

20% ($250 max)

N/A

Some medications could require a prior authorization or have a limited quantity. If you have an existing authorization in place,
you will not need to get a new authorization. Drugs that fall under the Affordable Care Act are covered at 100%.

Swipe to view all content

PPO $3,000

Retail Pharmacy Co-Payment Amount Mail Order (90 Days)
Generic Drug

$15

3x co-pay

Preferred Brand Name Drug

35% ($45 min – $80 max)

3x co-pay

Non-Preferred Brand Name Drug

40% ($75 min – $120 max)

3x co-pay

Specialty Drugs

20% ($250 max)

N/A

Some medications could require a prior authorization or have a limited quantity. If you have an existing authorization in place,
you will not need to get a new authorization. Drugs that fall under the Affordable Care Act are covered at 100%.

Swipe to view all content

PPO $2,000

Retail Pharmacy Co-Payment Amount Mail Order (90 Days)
Generic Drug

$15

3x co-pay

Preferred Brand Name Drug

35% ($45 min – $80 max)

3x co-pay

Non-Preferred Brand Name Drug

40% ($75 min – $120 max)

3x co-pay

Specialty Drugs

20% ($250 max)

N/A

Some medications could require a prior authorization or have a limited quantity. If you have an existing authorization in place,
you will not need to get a new authorization. Drugs that fall under the Affordable Care Act are covered at 100%.

Swipe to view all content

High Deductible Health Plan (HDHP) HMO

Retail Pharmacy Co-Payment Amount Mail Order (90 Days)
Generic Drug

30% after deductible

30% after deductible

Preferred Brand Name Drug

30% after deductible

30% after deductible

Non-Preferred Brand Name Drug

30% after deductible

30% after deductible

Specialty Drugs

30% after deductible

N/A

Some medications could require a prior authorization or have a limited quantity. If you have an existing authorization in place,
you will not need to get a new authorization. Drugs that fall under the Affordable Care Act are covered at 100%.

Swipe to view all content

High Deductible Health Plan (HDHP) PPO

Retail Pharmacy Co-Payment Amount Mail Order (90 Days)
Generic Drug

30% after deductible

30% after deductible

Preferred Brand Name Drug

30% after deductible

30% after deductible

Non-Preferred Brand Name Drug

30% after deductible

30% after deductible

Specialty Drugs

30% after deductible

N/A

Some medications could require a prior authorization or have a limited quantity. If you have an existing authorization in place,
you will not need to get a new authorization. Drugs that fall under the Affordable Care Act are covered at 100%.

Swipe to view all content

Order a new Prescription Plan card

Call Pharmacy Member Services to order a new card.
The following information may be used until you receive your card:
RXBIN: 610014
RXGRP: RXBRORO

Issuer: Express Scripts
Pharmacy Member Services: 1-800-334-8134
Pharmacist Helpdesk: 1-800-922-1557

Manage Your Medication(s)

The Express Scripts® mobile app is like a pharmacy in your pocket. You can order refills, make payments, and even set up reminders to take your medication.

Learn more about the Express Scripts® mobile app