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Benefits

Retiree - Pre-Medicare Eligible Prescription Benefit

Note: With new lower rates through your UK health plan for 2007-08, generic prescription drugs are a better value than ever!

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 (available 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

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