As of January 1, 2021, we switched pharmacy benefit managers (PBM) from Optum to Southern Scripts. The role of pharmacy benefit managers is to determine which medications are covered on the prescription drug list and work with pharmacies on dispensing the medications covered on your plan.
Unlike most other pharmacy benefit managers, Southern Scripts is transparent meaning they don’t markup drug costs, which inflates costs to the City and you. Southern Scripts only charges an “administrative fee” to provide their service and doesn’t apply any hidden fees like other PBMs.
Show the pharmacy your new card when getting a prescription. If you experience an issue, call the Southern Scripts number (800-710-9341) on the front of your insurance card. In most cases, a PBM can resolve the problem by reaching out to the pharmacy on your behalf. They can identify and resolve the issue for you in real time.
One major change in switching from Optum to Southern Scripts is that there are no minimums to prescription costs. The co-insurance is 15% of the cost of the drug. In some instances, members receive their medication for as low as 50 cents.
To view the prescription drug list, go to southernscripts.net/members.php then scroll down and enter the name of your medications to determine which prescription drug tier it is in.
New: The Southern Scripts app has recently been upgraded with some new features. Check the status of a prior authorization, review your drug list and enroll in the variable copay program from the app. Check out this flyer.
We have three types of pharmacy programs with SouthernScripts that save money on prescriptions:
NOTE: Walgreens and Costco can only dispense 1 month medication supplies.
Customer Service: 800-552-6694Monday – Friday: 8 a.m.-8 p.m.Saturday: 11 a.m.-4 p.m.Sun: ClosedPpsrx.com
Tips to keep in mindGo to SouthernScripts.net/members.php to locate an in-network pharmacy. Look for the following images in your search to find the right pharmacy for you:
The Human Resources Benefits Team is always here to answer your questions. Please contact them at HRBenefits@plano.gov for more information.