Prescription Drug Coverage

Express Scripts 1-866-515-1442      

The University's prescription drug plan, including the mail order option, is administered by Express Scripts. Express Scripts utilizes a formulary drug listing. These lists are not all-inclusive and do not guarantee coverage. In addition to using this list, you are encouraged to ask your doctor to prescribe generic drugs whenever appropriate.

Form more information on Formulary Listings visit:
http://www.express-scripts.com/aboutus/formularyinformation/

Your PPO coverage includes both retail and mail order prescription drug coverage.


Retail

You can receive up to a 30 day supply at a retail pharmacyusing your prescription card.
Generic Brand Name Formulary Brand Name Non-Formulary
   **co-pays
$10
$20
$30

Mail Order

You will receive a three month supply for the co-pay listed below by using the mail order program.Visit www.express-scripts.com/ and follow the instructions to get prescription home delivery.
Generic Brand Name Formulary Brand Name Non-formulary
   **co-pays
$15
$30
$45

Schedule II drugs and narcotics are exempted from the exclusive home delivery program. These drugs can often be dispensed only 30 days at a time.  Employees can use retail or mail order for these.  There is no mail order requirement.  Examples:  oxycodone, ritalin, dexedrine, etc.  

Other drugs with manufacturer or FDA supply limits are also exempted from the exclusive home delivery program.  If a doctor is only allowed to prescribe a 30 day or other limited supply, there is no mail order requirement for that drug.

Contact Express Scripts directly at 1-866-515-1442 to inquire about specific medications.

Exclusive Home Delivery Program

The University's prescription drug plan includes an "exclusive home delivery" program. The Exclusive Home Delivery Program pertains to maintenance medications, or prescription drugs for ongoing conditions such as diabetes or high blood pressure.

Under the Exclusive Home Delivery Program, employees can fill a prescription of a maintenance medication up to 2 times at a retail pharmacy such as CVS, Wal-Mart, or Kroger. After that, the University's health plan will cover the medication only if it is ordered through the Express Scripts Mail Order Pharmacy.
 
Schedule II drugs and narcotics are exempted from the exclusive home delivery program. These drugs can often be dispensed only 30 days at a time.  Employees can use retail or mail order for these.  There is no mail order requirement.  Examples:  oxycodone, ritalin, dexedrine, etc.
 
Other drugs with manufacturer or FDA supply limits are also exempted from the exclusive home delivery program.  If a doctor is only allowed to prescribe a 30 day or other limited supply, there is no mail order requirement for that drug.

Contact Express Scripts directly at 1-866-515-1442 to inquire about specific medications.

Express Scripts Generic Preferred Program

The University's prescription drug plan includes a "generics preferred" program. When employees or family members need a new prescription or a refill for a brand-name drug, the pharmacist will check whether a generic drug is available instead. If a generic is available, employees are encouraged to utilize the generic option. If the employee chooses to use the brand-name instead of the generic, the employee will be charged the full cost difference between the generic and the brand-name drug.  If there is no generic available, the employee will be charged the normal brand name copay.

 **AFSCME members: consult your union contract for details regarding your benefit coverage.
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