Starting July 1, 2026, Express Scripts® Pharmacy Benefit Services will administer prescription drug benefits for UNM employees, pre 65 retirees, and their families who are enrolled in UNM LoboHealth (through BCBSNM) or Presbyterian Health Plan. The last day to fill prescriptions through CVS Caremark® will be June 30, 2026.
All active benefits eligible employees, pre-65 retirees, and their dependents who are enrolled in a UNM medical plan are automatically enrolled in UNM’s prescription drug plan provided by Express Scripts® Pharmacy Benefit Services.
Our prescription drug plan ensures you have access to high-quality, cost-effective medications through a network of retail pharmacies and by offering convenient home delivery of those medications you take on a regular basis.
See the Formulary document below for a list of the most commonly prescribed drugs or contact Express Scripts® Member Services to obtain specific copay and coinsurance information for covered medications. The Express Scripts® website also allows participants to enter a specific drug and related regimen information to receive cost information, including mail-order prices.
Effective July 1, GLP-1 medication coverage when used for weight management will no longer be covered. There will be no change to coverage for GLP-1 medications prescribed for other conditions. UNM is providing financial support and transition assistance to impacted members currently utilizing these medications through a Health Reimbursement Arrangement (HRA) plan. Click here for more information about the GLP-1 HRA.
Prescription Drug ID Cards will be created for and mailed to the primary member by Express Scripts®. All plan participants must use the card with the primary member’s name since dependents do not receive their own cards.
Provide your ID card to your pharmacist when ordering or picking up prescriptions.
Yes. Express Scripts will mail prescription ID cards. Watch for a welcome letter with your cards following your enrollment in either the UNM LoboHealth or Presbyterian medical plans. Be sure to use your Express Scripts ID Card when filling a prescription for yourself or a covered family member. You can also access your digital prescription ID card online at www.express-scripts.com and on the Express Scripts® mobile app. You can download the Express Scripts mobile app for free from your device's app store.
Call the Express Scripts Member Services dedicated toll-free customer service number for UNM at 800.743.1720
Effective, July 1, UNM’s plan will use the Express Scripts Standard National Preferred Formulary List. An online Price A Medication calculator tool is available to provide you with real-time cost estimates at different pharmacies by zip code.
Express Scripts© National Preferred Formulary is a list of preferred medications covered under your plan. Your formulary offers a wide selection of generic and brand-name prescription medications chosen to help keep prescription medication costs down. Log in to express-scripts.com to find coverage and pricing details, and to see whether your medication has a generic equivalent. If you prefer, you can also call the Express Scripts dedicated UNM customer service line at 800.743.1720 to speak with an Express Scripts representative for assistance.
Yes. Express Scripts will mail a notification letter to you if your drug changes formulary status.
Yes. Generic drugs have the same active ingredients as their brand-name counterparts and must meet the same FDA standards for quality, purity, safety, and effectiveness. The inactive ingredients may be different, which can impact a drug’s shape, color, size, or taste. But the drug’s strength and dosage will be the same as the brand-name drug.
Generic and preferred brand-name drugs are effective and can help you save money. For example, generic drugs are chemical copies of the brand-name drugs but cost you less under your Plan.
If you’re taking a non-preferred brand-name drug, ask your doctor whether a lower-cost preferred alternative would be right for you. If you request a brand-name medication when a generic is available, you will pay the brand-name drug price PLUS the difference in cost between the generic and brand-name medication. Of course, if there’s a medical reason that you need to take the brand-name drug, your provider can complete a prior authorization for approval. If approved, you won’t have to pay the penalty.
You may have your physician contact Express Scripts to request a medical review or prior authorization for your new prescription. Your physician can visit the Express Scripts® Pharmacy Benefit Services online portal at esrx.com/PA or call Express Scripts at 800.417.1764 to request a review.
You can view the National Preferred Formulary Exclusion List with Preferred Alternatives. Or, log in to express-scripts.com and use the Price a Medication feature, available under Manage Prescriptions. Look up your medication’s name and click View Coverage Notes for details. If you prefer, you can also call the Express Scripts dedicated UNM customer service line at 800.743.1720 to speak with an Express Scripts representative for assistance.
Medications excluded from your formulary will require prior authorization for coverage. Prior authorization is a program that monitors certain prescription medications and their costs to determine whether your use of certain medications meets your plan’s conditions of coverage. It works much like healthcare plans that approve certain medical procedures before they’re done, to make sure you’re getting tests you need. If you’re prescribed certain medication, it may need a prior authorization. A prior authorization makes sure you’re getting a cost-effective prescription medication that works for you.
If your prescription requires prior authorization, you may have your physician contact Express Scripts to request a medical review or prior authorization for your new prescription. Your physician can visit the Express Scripts® Pharmacy Benefit Services online portal at esrx.com/PA or call Express Scripts at 800.417.1764 to request a review.
If you are on a medication that received prior authorization in 2025, that prior authorization will be transitioned to Express Scripts. You will receive a notification in the Express Scripts portal 60 days before your prior authorization expires so you may re-initiate it with your physician.
No, you can go to any pharmacy in the Express Scripts pharmacy network, as well as UNM Pharmacies. Use the Express Scripts® Pharmacy Locator to check for your pharmacy, or call the Express Scripts dedicated UNM customer service line at 800.743.1720 to speak with an Express Scripts representative.
Simply log in to express-scripts.com, and you can search for nearby pharmacies in your prescription plan’s network using the Find a Pharmacy tool under Prescriptions in the main menu. You can search for nearby network pharmacies by ZIP code or city and state. You can also find a list of the services available at each pharmacy.
Through Express Scripts Pharmacy Home Delivery, you can get a 90-day supply of your medications shipped right to your door—saving you time and money. You can even set up automatic refills, so you never have to worry about running out. Log in to express-scripts.com to manage your prescriptions.
Visit express-scripts.com and click the Register button. You’ll need to provide your preferred email address, name, date of birth, and ZIP code, and create a password.
You can do everything related to managing your prescription drugs. Visit the website to:
Visit your mobile device’s app store and search for “Express Scripts.” From there, you can download the app and use it for free.
You can use the Express Scripts mobile app to manage your prescriptions on the go. For example, the app makes it easy to:
No immediate action is needed if you have a current prescription at the CVS Caremark Specialty Pharmacy. Your open prescription with refills will transfer directly to Accredo Specialty Pharmacy after 7/1. Express Scripts will be sending you a notification letter with Accredo Specialty Pharmacy contact information and next steps prior to 7/1. Beginning July 1, you can reach Accredo Specialty at 800-870-4498, or you can visit them online at https://www.accredo.com.
If you have a new prescription, ask your doctor to send it electronically to Accredo. Once it's ready, a patient care advocate will call you to schedule delivery.
You can choose to utilize Accredo Specialty Pharmacy for specialty prescriptions or fill your specialty medication at any participating network specialty pharmacy.
Yes. The University of New Mexico has partnered with SaveonSP to provide a specialty pharmacy copay assistance program. A select group of approximately 400 specialty medications in 20 therapy classes are part of the SaveonSP program. You may visit saveonsp.com/unm to see the latest list of medications under this program.
If you are currently taking a specialty medication that is part of the SaveonSP program, you will receive a letter in June with more details. As part of this benefit, medications included in SaveonSP will be subject to a 30% coinsurance; however, you could pay as little as $0 for them.
If you submit a new specialty prescription, an Accredo representative will reach out to you prior to processing the prescription and assist you with enrolling in the program by engaging you with a SaveonSP representative.
No. Accredo is part of your prescription drug benefit.
No. Accredo manages specialty medications only.
Yes. Biosimilars are medicines made to be very similar to existing biologic drugs (Humira, Enbrel, or Remicade, for example). The FDA requires biosimilars to show no meaningful differences in safety or effectiveness compared to the original biologic. While generic drugs are the exact same chemical copies of the brand-name drugs, biosimilars are highly similar because biologics are made from living cells, which are naturally more complex.
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