The New York State
Insurance Fund (NYSIF) has entered into an agreement with Express Scripts
Inc., a Pharmacy Benefits Manager (PBM), which has a network of pharmacies to
make available the medications workers may receive for their work-related injury
or sickness. This does not change your right to get the medication necessary to
treat such an illness or injury. It only means that you should obtain that
medication from Express Scripts network pharmacies. The pharmacies, and their
addresses, can be obtained by:
If you are obtaining your medication through a workers' compensation claim,
you should obtain that medication from one of these pharmacies unless:
- You have a medical emergency and it is not reasonably possible to purchase
the medications you need for that emergency from a network pharmacy,
- The pharmacy is not within 10 miles of your rural location, or within one
mile of your non-rural location, and no pharmacy in the network will deliver
to you.
Please note that Express Scripts has mail-order service. Instructions for
mail-order can be obtained by calling the Express Scripts Call Center at (866)
533-7011.
All pharmacies in the network are required to keep a sufficient stock of
medication on hand so that they can service you without undue delay.
All in-store pharmacies must be open for business during hours that are typical
in your community, and must post a sign saying that they serve injured workers
who receive their benefits from
NYSIF.
Express Scripts network pharmacies will bill
NYSIF directly. You will
not have to pay out-of-pocket costs for medication.
You may obtain additional information about Express Scripts network pharmacies
online at
www.express-scripts.com or
call the toll free 24 hour telephone number at (866)
533-7011.
If you have any questions or problems, please call
NYSIF at (866) 303-7737, the Workers' Compensation Board at
(877) 632-4996, or the Board's Advocate for Injured Workers at (800) 580- 6665.
Further information can be found on the website
Workers' Compensation Board.
For information on workers' compensation procedures at Buffalo State, visit
http://www.buffalostate.edu/offices/hr/worker.asp.
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