Prescription Plan
Our prescription carrier is Express Scripts.
Express Scripts Prescription Hotline number is 1-844-424-8882
NBOE does not participate with the School Employees’ Health Benefits Program administered by the State of NJ.
If you enroll onto the medical NBOE NJ Educators Plan (NJEP), or NBOE Garden State Health Plan (GSHP), prescription drug coverage is already included on the combine plan.
All medical plan participants have prescription drug coverage based on their selected plan.
A way to save money is by requesting generics and/or mail order options when available.
Prescription Plans Comparison
| ACTIVE/ OVERAGE DEPENDENT/ COBRA |
$0/$20 Prescription Plan | NJ Educators Prescription Plan and Garden State Prescription Plan | ||||||
| Express Scripts Formulary Name | National Formulary | National Formulary | ||||||
| Prescription BENEFITS | IN - NETWORK | OUT - OF - NETWORK | IN - NETWORK | OUT - OF - NETWORK | ||||
| MOOP (Maximum out-of-pocket limit) | $1580 - Individual/ $3160 - Family | Not included in the Out of Pocket Max | $1,600 - Individual/ $3,200 - Family | Not included in the Out of Pocket Max | ||||
| GENERIC DRUGS | ||||||||
| Mandatory Generics with Dispense as written (DAW) | ||||||||
| RETAIL | $0.00 | 20% coinsurance after copay | $5.00 | Copay + amount above the Allowed Amount | ||||
| MAIL ORDER | $0.00 | 20% coinsurance after copay | $10.00 | Copay + amount above the Allowed Amount | ||||
| PREFERRED BRAND NAME DRUGS | ||||||||
| RETAIL | $20.00 | 20% coinsurance after copay | $10.00 | Copay + amount above the Allowed Amount | ||||
| MAIL ORDER | $20.00 | 20% coinsurance after copay | $20.00 | Copay + amount above the Allowed Amount | ||||
| NON-PREFERRED BRAND NAME DRUGS | ||||||||
| RETAIL | $20.00 | 20% coinsurance after copay | $10.00 | Copay + amount above the Allowed Amount | ||||
| MAIL ORDER | $20.00 | 20% coinsurance after copay | $20.00 | Copay + amount above the Allowed Amount | ||||
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$0/$20 Plan Includes: Diabetic supplies and Contraceptive drugs and devices obtainable from a pharmacy. Contraceptives covered up to a 6 month supply. Contraceptive copay strategy applies. Performance Enhancing Drugs limited to 6 tablets per month. Oral and injectable fertility drugs included (physician charges for injections are not covered under RX, medical coverage is limited). A limited list of over-the-counter medications are covered when filled with a prescription. |
NJEHP Prescription Plan will include: Step Therapy Program Mandatory Generics Program Mandatory Mail Order for Specialty Medications Program (subject to 90-day supply and mail order co-pay) |
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| The NJEP and GSP Prescription Programs includes Step Therapy, Mandatory Generics Program as well as Mandatory Mail-Order for Specialty Medication and a Restrictive Closed Formulary (National Formulary) | ||||||||
| Benefit comparison is for illustrative purposes. It is not a contract and some limitations and exclusions may apply. Please refer to benefit summaries/booklets for detailed information. | ||||||||
| Express Scripts Dedicated NEWARK BOE Telephone: 1-844-424-8882 | ||||||||
ESI Instructions
2025 Prescription Plan Comparison Newark BOE
2025 National Preferred Formulary Newark BOE
Accredo Specialty & SaveOnSP
SaveOnSP Copay Assist Flyer
SaveonSP Q & A Flyer
Specialty Meds in SaveonSP - Copay Assistance List -2024
