Pharmacy Benefit Manager Transition Information
The WTC Health Program has completed this transition to Express Scripts, the Pharmacy Benefit Manager, as of June 1, 2022. For the latest on Program pharmacy benefits, visit the Pharmacy Benefits page.
Starting June 1, 2022, Express Scripts will replace Managed Care Advisors and Optum as the World Trade Center (WTC) Health Program Pharmacy Benefit Manager (PBM). The WTC Health Program is working with both vendors to ensure a smooth transition for our members. Members with a certified condition should be on the lookout for mail from the WTC Health Program or Express Scripts about this change.
You can also learn more about this change and the new vendor in the FAQs below and on the Express Scripts website .
This page will be updated as more information about the PBM transition becomes available.
The WTC Health Program mailed notification letters to members with a certified condition. Letters are available in English, Español, Polski, and 中文:
- PBM Announcement Letter (December 2021)
- Survivor PBM Coordination of Benefits Letter (May 2022) (Certified Survivors only)
- June 1, 2022 Express Scripts will replace Managed Care Advisors and Optum as the WTC Health Program Pharmacy Benefit Manager (PBM).
- In May, 2022, members with a certified condition will receive a welcome kit from Express Scripts. This kit will include your new WTC Health Program Prescription ID card.
- Most members are expected to be able to stay with their current pharmacies. If you will need to change pharmacies, Express Scripts will send you a letter with the steps you can take. Your home delivery and specialty pharmacy network may be changing as well, Express Scripts will send you a letter if this affects you.