Prescription Drug Benefits

2021 and 2022 Plan Year Information

Prescription Drug Coverage

The Morgan Stanley Medical Plan includes prescription drug coverage. If you elect Medical Plan Option A, B or C administered by Cigna or UnitedHealthcare (UHC), your prescription drug coverage is administered by Express Scripts.

Medical Plan Options A, B and C all generally cover the same prescription drugs. The major difference in prescription drug coverage is the annual deductible required before the coinsurance begins to share the cost of prescription drugs.

California and Hawaii

If you participate in a regional Medical Plan option in California or Hawaii, prescription drug coverage is provided through the Medical Plan administrator. Please contact the Plan administrator or visit its website for information about prescription drug copays, preferred drug or formulary lists and managed drug programs.

Annual Deductibles

The annual deductible works differently depending on the Medical Plan option you choose. The Medical Plan Option A and B annual deductible is for your prescription drugs only (a separate annual deductible applies for medical costs); the Medical Plan Option C annual deductible includes medical and prescription drugs.

If You Enroll in Option A or B: In-Store (up to 30-day supply)If You Enroll in Option A or B: Mail Order (up to 90-day supply)If You Enroll in Option C: Preventive MedicationsIf You Enroll in Option C: Non-Preventive Medications
First

You Must Pay Your Deductible

Annual Deductible
  • Single: $50
  • Family: $150

None, skip to coinsurance

Medical and prescription drug deductibles are combined; skip to coinsurance for payment amounts for prescription drugs

  • Single: $2,300
  • Family: $4,600

Medical and prescription drug deductibles are combined; skip to coinsurance for payment amounts for prescription drugs

  • Single: $2,300
  • Family: $4,600

Under Medical Plan Option C, your non-preventive prescription drug costs count toward your deductible and out-of-pocket maximum amounts. So, if you are prescribed a non-preventive prescription drug early in the year, it is possible you’ll receive a bill as high as $2,300 for single coverage or $4,600 for family coverage. If you are enrolled in family coverage, you must meet the family deductible amount before the plan will begin to pay benefits for all non-preventive drugs and services. Learn more about how prescription drug benefits work with Medical Plan Option C. 

If you have a condition requiring regular, high-cost medications, you may want to consider Medical Plan Options A or B.

Note: Preventive drugs are generally prescribed for people who may be at risk for certain diseases or conditions. This does not include drugs or medicines for treatment of an existing illness or condition.

View the current Express Scripts preventive prescription drug list.

What You Pay

See what you pay when you need a prescription.

In-Store (up to 30-day supply)Mail Order (up to 90-day supply)
Then

You Pay Coinsurance

Generic Drugs

You pay $10 copay

You pay $20 copay

Preferred Brand Drugs

You pay 30% coinsurance
($25 min, $50 max)

You pay 30% coinsurance
($25 min, $75 max)

You pay 30% coinsurance
($63 min, $112 max)

You pay 30% coinsurance
($65 min, $150 max)

Non-Preferred Brand Drugs

You pay 40% coinsurance ($50 min, $150 max; $200 max for specialty drugs)

You pay 40% coinsurance ($125 min, $300 max; $400 max for specialty drugs)

About Express Scripts

Express Scripts is the country’s largest independent manager of pharmacy benefits, serving more than 85 million people. With Express Scripts, you have flexibility and choice in how you receive your medications — pick them up at your neighborhood pharmacy, have them delivered or, depending on where you live, use Capsule Pharmacy’s free, same-day delivery service. Whichever option you choose, Express Scripts will ensure you and your family get your medications quickly and conveniently.

Express Scripts offers several enhancements for you, your family, friends and even your pets:

  • Extended payment program lets you split the cost of home-delivery medications over 3 months (select this option when paying for a medication on the Express Scripts website).
  • Family and friends discounts. Express Scripts’ Inside Rx savings card provides your family and friends who do not have insurance with instant savings on brand and generic medications at 60,000 participating retail pharmacies including Costco, CVS, Kroger, Rite Aid, Walgreens, Walmart and many more.
  • Savings on human drugs to treat pets. Present your Inside Rx Pets savings card at 60,000 participating pharmacies and save an average of 15% off brands and 77% off generics.
  • Free, same-day delivery of medications by Capsule Pharmacy in many metro areas and suburbs. Also, enjoy a 10% discount on over-the-counter medications. Learn more about Capsule Pharmacy.

Tips for Using Your Pharmacy Benefit

Share Your Medical and Prescription Drug ID Card

Present your ID card to your pharmacists and doctors so they have your correct prescription drug plan information on file.

Note: You will receive a combined medical and prescription drug ID card from Cigna or UnitedHealthcare upon enrollment in the Medical Plan. You may print additional cards at express-scripts.com, or by calling 1-877-859-0018 to request additional cards by mail.

Register for the Express Scripts Site

Create your account at express-scripts.com and then:

  • Review your current refills and medication history.
  • Sign up for home delivery of maintenance medications and save with a three-month supply.
  • Enter your credit card information to be stored on file for future orders.

Note: Express Scripts also has a convenient mobile app. Download the mobile app from the Apple Store or Google Play.