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Posted on: April 15, 2021

Southern Scripts: What You Should Know

Prescription bottles and med forms

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.Southern Scripts_App

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:

  • The Variable Copay Program – This program uses manufacturer coupons to significantly reduce the cost of eligible medications. To see if your medication qualifies for a reduced copay, contact HRBenefits@plano.gov.
  • Retail Pharmacy – This is a program that uses a network of participating pharmacies. To receive the highest level of benefits, you must use a participating pharmacy. When filling your maintenance medications, look for a First Choice pharmacy in the network that offers 3-month supplies for the cost of 2-month supplies. If you have a local pharmacy that is not currently in-network, please contact HRBenefits@plano.gov and we can ask Southern Scripts to get them into the network. This is an easy process with a fairly short turnaround.

NOTE:  Walgreens and Costco can only dispense 1 month medication supplies.

  • Mail-Order Pharmacy (Postal Prescription Services) – This mail-order pharmacy program offers a convenient and cost-effective way to fill your maintenance medications. You can get a 3-month supply for the cost of a 2-month supply delivered directly to your home! To order prescriptions through the mail-order program, complete a mail-order form and send along with a doctor’s prescription for a 3-month supply and your payment. Prescription pharmacist customer

Customer Service: 800-552-6694
Monday – Friday: 8 a.m.-8 p.m.
Saturday: 11 a.m.-4 p.m.
Sun: Closed
Ppsrx.com

Tips to keep in mind
Go 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:

  • First Choice pharmacies can dispense 90-day supplies and are display the First Choice logo
  • Pharmacies that administer vaccines are identified with an image of a syringe
  • Specialty pharmacies have the image of a pill

The Human Resources Benefits Team is always here to answer your questions. Please contact them at HRBenefits@plano.gov for more information. 

Southern Scripts Pharmacy

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