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.
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: 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.
A. 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.
A:
- 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.