Express Scripts® Pharmacy Benefit Services is your new pharmacy benefit manager
At Gravie, we want to make managing your prescriptions easy and affordable. That’s why beginning January 1, 2026, we’re partnering with Express ScriptsⓇ to handle all of your prescription benefits, including mail-order and pharmacy network management.
Most Gravie members won’t notice any big changes, but here are a few things to know to make sure your prescriptions continue without any interruptions.
What’s changing?
- You’ll get your prescription benefits, including mail-order and pharmacy network management, through Express Scripts.
- If you receive specialty medications, Accredo will become your new specialty pharmacy.
- SaveOnSP will manage co-pay assistance for eligible specialty medications (replacing PrudentRx). Please note that members on HSA-compatible plans will not have access to SaveOnSP.
Important information about your pharmacy network
Your retail pharmacy network through Express Scripts gives Gravie members access to a nationwide network of pharmacies, including major chains, grocery stores, and independent pharmacies, so you can fill prescriptions quickly and conveniently. As part of this network, you can choose to include either CVS or Walgreens. The pharmacy you do not choose will be considered out of network. Each member of your household can select their own preferred pharmacy network.
Important to know: No matter which network you’re assigned to, you can still use all other pharmacies in-network with Express Scripts. You are not limited to CVS or Walgreens unless you choose to use them.
Every member is assigned to one of these networks, and you can review or change your assignment by calling Express Scripts 24/7 at 877-608-0355.
How your network is assigned
If you are a new Gravie member:
- You and your dependents will be automatically assigned to the Walgreens retail pharmacy network. This means that Walgreens and other participating Express Scripts pharmacies will be in-network.
- CVS pharmacies will be out of network unless you choose to make a switch.
- You are not required to use Walgreens. You may continue using any other participating in-network pharmacy with Express Scripts.
If you are an existing Gravie member:
- If you or a covered family member filled a prescription in the last 6 months, your network is assigned based on prescription history (CVS or Walgreens).
- If no prescriptions were filled in the last 6 months, you will be assigned to the Walgreens retail pharmacy network.
How do I view or change my retail pharmacy network?
Starting January 1, 2026:
- We recommend checking your assignment to make sure your preferred pharmacy is in network. You can view or change your pharmacy preference once per calendar year in one of these ways:
- Online: Log in to your Gravie member account at member.gravie.com or through the Gravie App. Go to Pharmacy, then in your Express Scripts account select: Account → Pharmacy Preferences → View Options → Change Selection
- By phone: Call Express Scripts toll-free number at 877.608.0355, 24/7.
- You may also be able to make an additional change if you experience a qualifying life event, such as moving.
- If you are happy with your current pharmacy network assignment, no action is needed.
What should I expect beginning January 1, 2026?
- You can begin using Express Scripts for your prescriptions.
- Specialty medications can be filled through Accredo, and co-pay assistance (if eligible) will be managed by SaveOnSP (only available to members on non-HSA plans).
- New digital ID cards will be available in the Gravie app and portal starting January 1, 2026.
- Physical member ID cards will also be mailed to you at the beginning of December. (But, don’t start using them until January 1, 2026!)
- Most prescriptions will carry over automatically, but some may need new prescriptions due to state or formulary rules.
- Mail-order refills will move over automatically (except most controlled substances). You’ll need to re-set your payment and auto-refill options with Express Scripts once refills run out.
- Any active prior authorizations will transfer and remain valid through their end date unless the medication isn’t covered by Express Scripts. If that happens, we’ll mail you any next steps.
Still have questions? We’ve got the answers you need.
Check out these helpful resources and review the FAQ below for more information about the
transition to Express Scripts.
Frequently asked questions
A: A PBM administers your prescription benefits, including which drugs are covered, what you pay, and which pharmacies are in-network. They also manage mail-order and specialty pharmacy services.
A: The Express Scripts network gives members the option to access either CVS or Walgreens at in-network rates. Members choose which of these major retailers to include in their network and the other one is out of network. Every member is assigned to one of these networks, which determines where you can fill prescriptions at the in-network rate.
A: Your network assignment is based on your recent prescription history.
- If you or a covered family member has filled a prescription in the last 6 months, your network will be personalized based on that history.
- If you or a covered family member has not filled a prescription in the last 6 months, your network will be defaulted to the Walgreens-centered network.
A: Starting January 1, 2026, you can log in to your Gravie member account and click Pharmacy to see your assigned retail network.
A: Starting January 1, 2026:
- Yes! You can change your network once per calendar year through your Express Scripts account or by calling Express Scripts at 877.608.0355.
- To change your network selection in your Express Scripts account, log in at member.gravie.com or in the Gravie App and click Pharmacy. Once in your Express Scripts account, choose Pharmacy Preferences → View Options → Change Selection.
- You may also change your network if you experience a qualifying life event, such as moving or a change that affects pharmacy accesss.
A: If you fill a prescription at a nonparticipating pharmacy, you will be responsible for the full cost. To check whether your preferred pharmacy is in-network, you can log in to your Gravie member account and click Pharmacy to see your in-network pharmacies.
Non-specialty: Most active prescriptions will be available to refill starting January 1, 2026. Bring your new ID card or call your pharmacy with your Express Scripts information. Some medications may require a new prescription.
Specialty (Accredo): Accredo will contact you to handle onboarding and coordinate any documentation needed before dispensing.
Mail-order: Remaining refills will move over automatically (with a few exceptions). You’ll re-establish auto-refill and payment with Express Scripts Pharmacy later.
A: Active approvals will transfer and remain valid through their original end date unless the medication is excluded from the Express Scripts formulary. Members affected by an exclusion will receive a letter with options.
A: Starting January 1, 2026, all specialty medications will be filled by Accredo (home delivery only). Accredo’s specialty-trained pharmacists and nurses are available 24/7. They’ll coordinate your onboarding and, if needed, request new prescriptions or documentation.
A: SaveOnSP will replace PrudentRx. Eligibility lists differ, so not every medication will match one-for-one. If you’re eligible, SaveOnSP will call you to enroll you in manufacturer assistance and set up account monitoring. Enrollment happens by phone, so please answer or call back. Members losing co-pay assistance eligibility due to the change will receive mailed instructions and options.
A: Eligibility lists differ from PrudentRx, so not every medication will match one-for-one. SaveOn will communicate to you either by phone or by mail if you qualify. However, please note that members on HSA-compatible plans will not be eligible for SaveOn.
A: Most members won’t be affected, but some may see changes related to Express Scripts’ formulary and 2026 plan designs. These may include tier placement, exclusions, step therapy, quantity limits, or preventive-drug coverage differences. Impacted members will receive a personalized letter with clear next steps.
Before January 1, 2026: Visit express-scripts.com/gravie to explore the Express Scripts network, formulary, and price comparisons.
On or after January 1, 2026: Log in to your Gravie member account (member portal or app) and click “Pharmacy” to access Express Scripts tools.
By November 1, 2025: All members will have received a general notice of the move to Express Scripts.
In early November 2025: Personalized letters were sent to members whose costs or coverage will change. High-risk members (for example, those using transplant medications) will also get proactive phone outreach from the Gravie pharmacy team, and their providers will receive faxed details and covered alternatives.
Before January 1, 2026 (keep using CVS):
- CVS Caremark: 833-847-8881
- CVS Specialty Pharmacy: 800-237-2767
- PrudentRx: 800-578-4403
Starting now for questions about the transition and for fills on or after January 1, 2026:
- Express Scripts (24/7): 877-608-0355
- Accredo Specialty Pharmacy: 877-605-2001
- SaveOnSP: 800-683-1074
- Please note: If you call Express Scripts and your question needs a pharmacist, Accredo, or SaveOnSP, they’ll route you to the right place.
Don’t forget to keep using CVS Caremark all the way through 2025!
Please continue using CVS Caremark through December 31, 2025. Express Scripts cannot begin filling prescriptions or processing authorizations for Gravie members until January 1, 2026.
If you’re affected by a cost or coverage change, make sure to talk to your health care provider as soon as possible (and, if needed, Express Scripts, Accredo, or SaveOnSP) to ensure there’s no disruption in your care.