Prescription Drug Benefit

You and your eligible family members are automatically enrolled in a prescription drug plan managed by Express Scripts (ESI) when you sign up for MIT health coverage.

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:

 Express Scripts

Pharmacy Options

MIT Pharmacy

For eligible members, your pharmacy benefit provides the lowest possible copay when you fill your prescription at the MIT Pharmacy — as long as the MIT Pharmacy carries the drug and it is covered by your health plan. Your cost for a 90-day supply of an eligible medication will be equal to two MIT Pharmacy 30-day copays (see rates below). See additional information on filling a prescription at MIT Pharmacy.

Members of MIT Traditional and MIT Choice Health Plans can use the MIT Pharmacy to fill prescriptions written by MIT Medical care providers or by an outside clinician if referred by an MIT Medical care provider.

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, Effective July 1, 2019
 

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

MIT Pharmacy*

$5.00

$10.00

$15.00

$30.00

$40.00

$80.00

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

* Members of the MIT Choice Health Plan and the MIT High Deductible Health Plan can fill prescriptions at the MIT Pharmacy ONLY if written or referred by an MIT Medical provider.

Need Help or Have Questions?

Contact MIT Benefits by phone, email or in-person, or see the additional contact options below.

VendorPhoneWebsite
Express Scripts1-866-454-7118 Express Scripts

How to return forms: Unless instructed otherwise, while the MIT campus is on remote-work status due to the COVID-19 pandemic, you may return forms that do not contain sensitive information (such as Social Security Numbers) by email to benefits@mit.edu. Forms containing sensitive information must be mailed to MIT Benefits, NE49-5000, 77 Massachusetts Ave., Cambridge, MA 02139 or Lincoln Laboratory, Workforce Service Center, Room S2-112, 244 Wood Street, Lexington, MA 02420-9108.