Teamsters Joint Council No. 83 of Virginia
Health & Welfare and Pension Funds
Prescription Drug Benefits
Prescription Benefit Manager
Effective April 1, 2018 your prescription benefit manager is Express Scripts.
Prescription Programs Available
Express Scripts provides a retail, home delivery and specialty drug program.
Pharmacy Benefit Information
If you do not have the new ID card, the following information needs to be provided to the pharmacist:
- » Bin Number: 003858
- » PCN: A4
- » Rx Group: TJC83VA
- » Member ID Number: This is the same ID number found on the member’s Anthem medical card, but without the “TJA” prefix.
- » Member Date of Birth
- » 2022 At-Home Covid Test Notice
- » 2022 Notice Regarding 90-Day Maintenance Refills and Value Programs
If you are still unable to fill a prescription, please call Express Scripts Customer Service, 24 hours a day, 7 days a week at 855-230-7775.
Home Delivery Program (previously known as Mail Order)
To have your prescriptions delivered to your home, contact the Express Scripts Home Delivery Pharmacy at 855-230-7775, or register at www.expressscripts.com and download the Delivery Order form.
Drugs that Require Prior-Authorization from Express Scripts
There are certain drugs that require prior-authorization from Express Scripts. If your newly prescribed drug (i.e. not a current prescription that needs to be refilled) appears on this list, your provider must contact Express Scripts at 855-230-7775.
Prescription Drug Exclusion List
If your prescription drug appears on the Exclusion List, it will not be covered by your prescription drug plan. You are not required to change drugs, however, if you choose to continue using this medication, you will pay the full cost even if you received a prior authorization in the past. This does not mean you should stop taking your medication. We recommend you talk to your doctor to discuss alternative medication options. Updates to the Exclusion List can be found here: Exclusion List Changes
Secondary Prescription Benefit Coverage by the Fund
If you are covered by the Fund as your secondary carrier, please present your Express Scripts ID card to the pharmacist when picking up your prescription. Your secondary benefits will be processed at the time of payment, instead of requesting a reimbursement from the Fund, as handled previously.
Prescription Drug Reimbursement Form
If you paid out of pocket for a prescription and would like to be reimbursed, please complete the Prescription Drug Reimbursement Form and return it the address listed on the form.
Express Scripts ID Card Request
To request an Express Scripts identification card, please contact the Fund Office.
Additional Information
For more information regarding your prescription drug benefits, consult your Schedule of Benefits or contact the Fund Office.
Please note: For at-home Covid tests, you can either submit for direct reimbursement online or complete the Commercial Claim Form and return the form to Express Scripts