Prescription Benefit - Overview
All UK health plan members share the same prescription benefit. Enrollment in the prescription plan is automatic with your enrollment in any of the UK health plans. This benefit is administered directly by Express Scripts and not through your medical plan. Members are issued a prescription benefit card separate from their health plan card and will typically not receive a new prescription benefit card every year. Once issued, the original prescription benefit card will work in subsequent plan years. To order a replacement ID card, contact the Employee Benefits Office at (859) 257-9519 and select option 3.
Express Scripts is the pharmacy benefit manager that provides 24-hour customer service, web-based drug information, and an integrated mail service pharmacy. This is a single point of contact for all your prescription benefit needs. You will pay a percent coinsurance for your prescriptions, with a minimum and maximum copayment. See below for more details.
UK Prescription Benefit Summary
The copayments or coinsurance for each type of retail (30-day) prescription at your local participating pharmacy (including the Kentucky Clinic Pharmacy or Express Scripts Mail Service Pharmacies) are:
30-Day Supply |
Minimum Out-Of-Pocket |
Maximum Out-Of-Pocket |
Generic |
20% or minimum of $8 |
maximum of $50 per prescription |
Formulary Brand |
40% or minimum of $20 |
maximum of $60 per prescription |
Non-Formulary Brand |
50% or minimum of $40 |
maximum of $100 per prescription |
The copayments or coinsurance for each type of 90-day prescription only at Kentucky Clinic Pharmacy or Express Scripts Mail Service Pharmacy are:
90-Day Supply |
Minimum Out-Of-Pocket |
Maximum Out-Of-Pocket |
Generic |
10% or minimum of $24 | maximum of $100 per prescription |
Formulary Brand |
30% or minimum of $60 |
maximum of $120 per prescription |
Non-Formulary Brand |
40% or minimum of $120 |
maximum of $200 per prescription |
