When you sign up for MIT health care coverage, you and your eligible family members are automatically enrolled in a prescription drug plan managed by Express Scripts (ESI).
The benefit provides a variety of cost savings for eligible prescription drug expenses when they are prescribed by a plan doctor. You can obtain your medications by mail or at retail pharmacies that belong to your health plan's network.
Get Started
If you are eligible for the Prescription Drug Benefit, Express Scripts will send you an ESI ID card automatically. The amount you save depends on
- how you fill your prescription—by mail or through an ESI network retail pharmacy
- which tier of drug you purchase
See details below, or visit Express Scripts to register or log in:
Pharmacy Options
Reminder on prescription drug copays
Following the closing of the MIT Medical pharmacy in early 2022, MIT retained MIT Medical pharmacy copays of $5 (generic) and $15 (brand) through December 31, 2022. As of January 1, 2023, employees will pay the Express Scripts in-network copays of $8 (generic) and $25 (brand) at retail pharmacies.
Express Scripts Retail Pharmacy (CVS)
Health plan members can purchase 90-day supplies of eligible medications at CVS pharmacies. Please see the copay rates listed below.
Express Scripts Mail Order
Most prescription medications are also available by mail order through Express Scripts with no additional charge for shipping. You can purchase up to a 90-day supply for many of these medications. You will be required to pay the 90-day supply copay if you are purchasing between a 31 and 90 day supply, unless limited by drug dispensing rules. The only exception on this is for certain specialty drugs.
Some of your prescriptions may already be available through Express Scripts mail order — visit Express Scripts and click on the "prescriptions" tab to find out. Transfer additional prescriptions to Express Scripts by contacting your prescribing clinician; ask the clinician to send an up-to-90-day prescription to Express Scripts.
More Information
Eligibility
You are eligible for the Prescription Drug Benefit if you are paid by MIT, are appointed to work at MIT for at least three months, work at least 50% of the normal full-time work schedule, and are enrolled in either of MIT's health plans.
Who is eligible
- you have been appointed—and are currently employed—to work at MIT for at least three months
- you work at least 50% of the normal full-time work schedule
- you are paid by MIT
- you are enrolled in a Health Plan through MIT
Who is not eligible
- contractor
- affiliate
- teaching or research assistant
- honorary lecturer
- summer appointment
- international visiting student
- member of the armed services assigned to MIT
- family member who is not employed by MIT
- work-study student
- paid by MITemps
Members of collective bargaining units
All the plan provisions are subject to the terms of your collective bargaining agreement.
Drug tiers
- Tier 1 drugs—Generic
Medications that have exactly the same active ingredients as their brand-name counterparts. Your costs will be lowest when you choose Tier 1 drugs. - Tier 2 drugs—Preferred brand
Brand-name medications that are on a list of preferred drugs (also referred to as the Preferred Formulary List available below) that have been approved by a panel of doctors and pharmacists as safe, effective, and less expensive than other alternatives. You will pay more for Tier 2 drugs than Tier 1 drugs. - Tier 3 drugs—Non-preferred brand
Brand-name medications that have not been identified as an effective, lower cost medication on the formulary list. Your costs will be highest when you choose Tier 3 drugs.
FDA-approved birth control prescription drugs and devices are covered with no co-pay.
Your cost
Use the table below to determine your cost or copayment.
MIT Prescription Drug Costs for 2023
Tier 1—Generic |
Tier 2—Preferred |
Tier 3—Non-Preferred |
||||
---|---|---|---|---|---|---|
30 day supply |
90 day supply |
30 day supply |
90 day supply |
30 day supply |
90 day supply |
|
Express Scripts Retail Pharmacy |
$8.00 |
$16.00 |
$25.00 |
$50.00 |
$40.00 |
$80.00 |
Express Scripts Mail Order |
N/A |
$16.00 |
N/A |
$50.00 |
N/A |
$80.00 |
Need Help or Have Questions?
Contact MIT Benefits or see the additional contact options below.
Vendor | Phone | Website |
---|---|---|
Express Scripts | 1-866-454-7118 | Express Scripts |