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Answers to Your Questions About Rx Refills

Effective January 1, 2018, UC transitioned the pharmacy benefits plan from OptumRx to Anthem Blue Cross. Anthem uses Express Scripts (ESI) to administer the plan, including processing claims and managing home delivery. The transition included transferring most open retail and mail order prescriptions.*

Although your open prescriptions were successfully transferred, some or all of your open prescription information may not appear on the ESI website until late January.

To check your prescription refills, log on to anthem.com/ca. On your first visit, you’ll need to accept the ESI terms of agreement before you can access the ESI website through the Anthem website. Once you’re on the ESI website, be sure your profile information (in the Account section), such as your mailing address, is accurate. Click on Prescription Benefits (under the Useful Tools section on the bottom right side of page), then any options under Pharmacy Benefits or Pharmacy Self Service. Or you can register with and log on directly to express-scripts.com.

If you don’t see an open prescription, call Anthem Health Guide at (844) 437-0486. Pharmacy representatives are available 24/7.

For more information, view the FAQs below. For more FAQs, log in to the Express Scripts website through anthem.com/ca and click on the Help section.

Express Scripts Pharmacy Website Registration

1. How do I set up an account with Express Scripts to access my pharmacy information?

You have two ways to access your pharmacy information:

  1. Access it through your Anthem account at anthem.com/ca. Once you’ve set up and logged in to your Anthem account, click on the Prescription Benefits link under the Useful Tools section on the bottom right side of page. Then select any options under Pharmacy Benefits or Pharmacy Self Service. You’ll be taken to the Express Scripts website without having to re-enter any login information—you’ll just need to accept the terms of agreement on your first visit to Express Scripts.
  2. Go to the Express Scripts site directly at express-scripts.com. You’ll need to register on your first visit, and you’ll need to use the same login information you use to register whenever you want to access your information directly through the Express Scripts website.

2. What information do I need to register and set up my Express Scripts account?

You’ll need your member ID number (on your 2018 Anthem ID card) or Social Security number. You’ll also choose a username and password and provide an email address. Upon successful registration, you’ll have a fully personalized member experience.

Express Scripts Pharmacy Website Functionality

1. What can I do on the member website?

You can manage your prescription benefit online, including:

  • Order refills and track your order status
  • Check for lower-cost medication options
  • View medication alerts for your health and safety
  • Enroll eligible prescriptions in automatic refills
  • Obtain contact info for pharmacists who are available 24/7 to help answer medication questions

2. What can I do on the website if I haven’t yet filled a prescription in 2018?

If you haven’t filled a prescription in 2018, you’ll still be able to access information on your benefits, print order forms, and review and edit your account information. However, you won’t yet be able to:

  • Order refills or renewals
  • Check your order status
  • Transfer retail prescriptions to home delivery service
  • View your prescription history
  • Receive pharmacy care alerts (gaps in care alerts)

Medication History from OptumRx

1. Will I be able to see any of my OptumRx medication history on the Express Scripts website?

If you registered and set up an account with OptumRx before December 31, 2017, you can access 2017 prescription information at optumrx.com.

Medication history for drugs you’re currently taking that have an open refill will be available on the Express Scripts website once you enter the prescription number online. Open refills that are available for ordering will appear in the Prescriptions section of the homepage. Because of the transition, some or all of your open prescription information may not appear on the ESI website until late January 2018. If information for a medication you’re currently taking is not yet available online, call Anthem Health Guide at (844) 437-0486. Pharmacy and medication assistance is available 24/7. Call Anthem member services to have your mail order completed.

You can enter a prescription number by going to Account > Personal Information and selecting “Edit information.” Then you can enter an Express Scripts prescription number to see your prescriptions and claims online.

Getting Started with Express Scripts Home Delivery

1. How do I set up home delivery for my medication?

If you take prescription medication on an ongoing basis, you may be allowed to order prescriptions through home delivery. In order to access home delivery, you’ll need to ensure your mailing address and payment information is updated on the site. You can update this information in the Account section.

In the Account > Personal Information section, you can also complete the Health Questionnaire by clicking on the link from the left navigation menu. You only need to complete the questionnaire the first time you submit a prescription for mail order, unless your list of medications changes. By completing this form, you allow ESI to:

  • Gather important medical history
  • Perform reviews to ensure medication safety

2. What if I need to complete a mail order for a maintenance medication I’m currently taking but I can’t find the information on the Express Scripts website?

If information for a maintenance medication you’re currently taking is not yet available on the website, you should call Anthem member services to have your mail order completed.

Call Anthem Health Guide at (844) 437-0486. Pharmacy and medication assistance is available 24/7.

*By law, certain prescriptions could not be automatically transferred. Anthem will notify you if your active prescription could not be transferred.